How many shoppable procedure prices are published for Brookings Health System?

Brookings Health System in Brookings, SD currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Brookings Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Brookings Health System's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Brookings Health System's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Government - Local 49 Beds · rural Updated: 2026-05-18

Brookings Health System

300 22Nd Ave, Brookings, SD 57006 · 89 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.66×vs. Fair Market Price

Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 71% of the Time

File Completeness51

Price Logic56

Peer Alignment64

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 1.66× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +33% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Brookings Health System prices routine shoppable procedures at 2.1× Medicare (median 1.60× Fair BaseRate) while upper-quartile commercial rates jump +33% to 2.12× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#13 of 14 in SD · 85th State Percentile#2,844 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 82% patient recommendation (80/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
Commercial insurance median sits at 1.60× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.12×) jump +33% above the median procedure ratio (Q50 1.60×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.43× Divergence

0.9× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 0.97× · Q50 1.60× · Q75 2.12×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

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

0.5× MedicareGood

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

71% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 80/100Good

Procedure Prices at Brookings Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$2,616	$3,194	$1,021	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,117	$1,425	$6,109	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$853	$936	$2,540	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,545	$819	$511	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,193	$726	$583	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,386	$644	$160	4.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,309	$644	$242	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,818	$644	$303	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,774	$629	$338	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,774	$629	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,889	$629	$369	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,223	$644	$448	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,618	$644	$258	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$745	$471	$272	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$743	$471	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$663	$471	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$663	$305	$126	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$481	$305	$132	2.3×
CT scan, pelvis CPT Code: `72192`	$1,499	$320	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,226	$320	$166	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,654	$320	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,540	$320	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,644	$320	$169	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$314	$332	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$684	$305	$981	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$141	$249	$123	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$129	$249	$148	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$168	$210	$86	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$219	$229	$201	1.1×
Blood transfusion CPT Code: `36430`	$225	$225	$498	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$592	$230	$987	0.2×
Speech therapy (group session) CPT Code: `92508`	$128	$128	$27	4.7×
Physical therapy (manual therapy) CPT Code: `97140`	$76	$149	$34	4.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$149	$35	4.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$149	$40	3.7×
Orthotic fitting and training CPT Code: `97760`	$83	$149	$51	2.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$158	$165	$123	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$152	$137	$110	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$130	$130	$166	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$95	$91	$64	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$117	$112	$87	1.3×
X-ray, chest (single view) CPT Code: `71045`	$164	$90	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$258	$90	$92	1.0×
X-ray, foot CPT Code: `73630`	$258	$90	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$233	$90	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$357	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$258	$90	$93	1.0×
X-ray, hip CPT Code: `73502`	$148	$90	$93	1.0×
X-ray, ankle CPT Code: `73610`	$420	$90	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$216	$90	$110	0.8×
X-ray, lower back CPT Code: `72110`	$356	$90	$112	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$170	$170	$11	15.5×
Culture, blood CPT Code: `87040`	$143	$143	$11	13.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$157	$157	$14	11.2×
Blood test, basic metabolic panel CPT Code: `80048`	$117	$117	$9	13.0×
Blood test, vitamin D CPT Code: `82306`	$139	$139	$31	4.5×
Blood test, lipase CPT Code: `83690`	$91	$91	$7	13.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$101	$101	$10	10.1×
Culture, bacterial CPT Code: `87070`	$88	$88	$9	9.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$97	$97	$14	6.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$111	$111	$18	6.2×
Drug screening test HCPCS Code: `G0480`	$106	$115	$116	1.0×
Blood test, liver function panel CPT Code: `80076`	$113	$113	$9	unverified
Physical therapy (gait training) CPT Code: `97116`	$57	$73	$33	2.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$45	$3	15.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$42	$5	8.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$67	$67	$8	8.4×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, sodium CPT Code: `84295`	$36	$36	$5	7.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, amylase CPT Code: `82150`	$47	$47	$7	6.7×
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Blood test, potassium CPT Code: `84132`	$32	$32	$5	6.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$35	$6	5.8×
Hepatitis C antibody test CPT Code: `86803`	$50	$50	$15	3.3×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$73	$38	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$38	$38	$16	2.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$45	$45	$19	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$65	$65	$38	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$60	$60	$38	1.6×
Blood antibody screen CPT Code: `86850`	$65	$44	$46	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$51	$39	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$39	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$39	$49	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$33	$33	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$44	$44	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$51	$51	$3	unverified
Prosthetic fitting and training CPT Code: `97761`	$59	$59	$45	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$56	$56	$86	unverified

Showing top 25 high-impact procedures of 89 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Brookings Health System (Zero PHI Required)

CMS CCN: 430008

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $2,616

Insurer Median $3,194

1. Amount on Your Bill or Quote ($) Pre-filled with Brookings Health System’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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $2,615 Paying Cash

Self-Pay Cash Rate ($2,616) Beats Your Bill

Brookings Health System's published 45 CFR § 180 self-pay cash rate is $2,616 (vs. $3,194 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,210 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($5,231) is $4,210 above the denoised Fair BaseRate ($1,021) and 6.0× the $877 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Brookings Health System 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.

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 Composite80/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait100 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

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 Brookings Health System. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-22·administrative_or_closure
Closure Notice
Recorded
2026-05-15·cap_corrective_action
CAP Request
Recorded
2026-02-05·warning_notice
Warning Notice
Recorded
2023-12-07·administrative_or_closure
Closure Notice
Recorded
2023-06-08·cap_corrective_action
CAP Request
Recorded
2023-03-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (287 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 Brookings Health System.

Price Index: 1.00× regional baseline

Quality: 83/100 CMS composite

Median Household Income$67,341U.S. Census ACS

Local Uninsured Share4.3%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 69/100 · Caution CMS CCN 430008

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 430008) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-05-18

Validated Rate Rows822 (CMS v3.0.0)

File Integrity DigestVerified · CCN 430008

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