How many shoppable procedure prices are published for Huron Regional Medical Center?

Huron Regional Medical Center in Huron, SD currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Huron Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Huron Regional Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Huron Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Huron Regional Medical Center an overall hospital quality rating of 2 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: 3/31/2026

Huron Regional Medical Center

172 Fourth Street Se, Huron, SD 57350 · 134 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness61

Price Logic56

Peer Alignment65

Clean Billing80

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Huron Regional Medical Center prices routine shoppable procedures near 1.3× Medicare (p50 0.95×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.69×, +78% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#9 of 14 in SD · 57th State Percentile#1,764 of 3,385 in U.S. · 52nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.49× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 57% patient recommendation (64/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (0.5×) & laboratory (4.0×) services average 1.54× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.69×) jump +78% above the median procedure ratio (Q50 0.95×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.54× Divergence

2.0× Medicare

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

Quantile Tail Spread+78% Upper Tail

Q25 0.49× · Q50 0.95× · Q75 1.69×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.0× MedicareElevated

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

1.5× MedicareGood

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

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 64/100Elevated

Procedure Prices at Huron Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$46,240	$30,775	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$29,400	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$28,252	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$27,108	$17,936	1.5×
Bunion correction surgery CPT Code: `28296`	—	$12,333	$3,446	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,692	$8,223	1.4×
C-section delivery (full package) CPT Code: `59510`	$5,602	$4,995	$2,975	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,881	$2,540	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$4,392	$4,535	$2,680	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,377	$3,046	$1,021	unverified
Total hip replacement CPT Code: `27130`	$4,664	$2,656	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$3,858	$2,653	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$2,114	$2,114	$1,453	1.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,308	$269	4.9×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,308	$364	3.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,599	$1,319	$6,109	0.2×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,308	$257	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$1,308	$343	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,281	$855	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,303	$1,126	$3,372	0.3×
Inguinal hernia repair CPT Code: `49505`	$2,123	$1,139	$3,629	0.3×
Breast lump removal CPT Code: `19120`	$722	$1,043	$3,875	0.3×
Psychological testing by technician CPT Code: `96138`	—	$974	$395	2.5×
Neurobehavioral status check CPT Code: `96116`	—	$974	$231	unverified
Psychological testing evaluation CPT Code: `96136`	—	$974	$128	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	$663	$406	1.6×
Blood transfusion CPT Code: `36430`	$722	$529	$498	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,259	$521	$1,256	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,777	$454	$987	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,127	$423	$981	0.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$273	$166	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$273	$181	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,642	$265	$511	0.5×
Mental health services (therapy) HCPCS Code: `H0032`	—	$217	$65	3.3×
Care planning with family CPT Code: `90887`	—	$238	$107	2.2×
Review of medical records for care CPT Code: `90889`	—	$217	$114	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$314	$226	$134	1.7×
Family therapy session CPT Code: `90847`	—	$238	$173	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$141	$201	$86	2.3×
Group therapy session CPT Code: `90853`	—	$178	$100	1.8×
Ultrasound, pelvis CPT Code: `76856`	$289	$185	$130	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,156	$202	$303	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,378	$212	$448	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$156	$174	$123	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$136	$142	$35	4.1×
Behavioral health living support HCPCS Code: `H2019`	—	$137	$34	4.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$136	$142	$38	3.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$136	$142	$40	3.5×
New patient office visit (30-44 min) CPT Code: `99203`	$142	$148	$110	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,032	$148	$258	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,652	$173	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,518	$172	$343	0.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$122	$122	$38	3.2×
Orthotic fitting and training CPT Code: `97760`	$122	$142	$51	2.8×
Prosthetic fitting and training CPT Code: `97761`	$112	$112	$45	2.5×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$137	$88	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$121	$87	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$137	$140	1.0×
Behavioral health assessment HCPCS Code: `H0001`	—	$137	$157	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$746	$135	$167	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$137	$185	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,127	$158	$369	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,111	$146	$583	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$468	$116	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$968	$127	$163	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$968	$124	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,112	$116	$168	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$767	$132	$242	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$274	$88	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$691	$99	$160	0.6×
CT scan, sinuses CPT Code: `70486`	$804	$99	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	—	$274	$347	0.8×
Blood test, vitamin D CPT Code: `82306`	$227	$227	$31	7.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$238	$203	1.2×
Blood test, lipase CPT Code: `83690`	$196	$196	$7	28.0×
Blood test, amylase CPT Code: `82150`	$182	$182	$7	26.0×
Blood test, liver function panel CPT Code: `80076`	$158	$158	$9	17.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$167	$167	$11	15.2×
Blood test, vitamin B12 CPT Code: `82607`	$164	$164	$16	10.3×
Hepatitis C antibody test CPT Code: `86803`	$146	$146	$15	9.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$119	$119	$4	29.8×
Blood test, calcium CPT Code: `82310`	$119	$119	$5	23.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$119	$119	$5	23.8×
Blood test, potassium CPT Code: `84132`	$104	$104	$5	20.8×
Blood test, magnesium CPT Code: `83735`	$110	$110	$7	15.7×
Blood test, basic metabolic panel CPT Code: `80048`	$123	$123	$9	13.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$141	$141	$14	10.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$104	$104	$8	13.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$125	$125	$14	8.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$110	$110	$19	5.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$64	$64	$5	12.8×
Culture, bacterial CPT Code: `87070`	$83	$83	$9	9.2×
Culture, blood CPT Code: `87040`	$87	$87	$11	7.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$79	$79	$10	7.9×
Blood test, sodium CPT Code: `84295`	$104	$104	$5	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$50	$3	16.7×
Physical therapy (gait training) CPT Code: `97116`	$113	$70	$33	2.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$95	$111	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$55	$25	2.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	$56	$68	$33	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$136	$70	$38	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$44	$63	$35	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$71	$56	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	—	$89	$140	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	—	$61	$37	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$328	$68	$126	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$544	$72	$272	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$41	$41	$4	10.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$280	$65	$132	0.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$125	$38	$18	2.1×
X-ray, lower back CPT Code: `72110`	$297	$37	$112	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$62	$62	$86	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$188	$35	$20	1.8×
Physical therapy (manual therapy) CPT Code: `97140`	$35	$35	$34	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$146	$24	$25	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$41	$44	$48	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$41	$38	$49	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$90	$48	$64	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$32	$49	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$223	$26	$93	0.3×
X-ray, hip CPT Code: `73502`	$169	$26	$93	0.3×
X-ray, chest (two views) CPT Code: `71046`	$172	$25	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$294	$22	$92	0.2×
X-ray, chest (single view) CPT Code: `71045`	$110	$21	$92	0.2×
X-ray, foot CPT Code: `73630`	$266	$20	$92	0.2×
X-ray, hand CPT Code: `73130`	$247	$20	$93	0.2×
X-ray, ankle CPT Code: `73610`	$266	$20	$93	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$795	$33	$201	0.2×
Blood test, hemoglobin CPT Code: `85018`	$47	$47	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$127	$18	$6	3.0×
Blood antibody screen CPT Code: `86850`	$115	$26	$46	0.6×
Behavioral health day program HCPCS Code: `H2012`	—	$22	$100	0.2×
X-ray, pelvis CPT Code: `72170`	$168	$20	$110	0.2×

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.2%

Audit a Bill or Quote at Huron Regional Medical Center (Zero PHI Required)

CMS CCN: 431335

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $46,240

1. Amount on Your Bill or Quote ($) Pre-filled with Huron Regional Medical 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: $57,963 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $57,963

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.2% of gross = $57,963).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Huron Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$80,201 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($110,976) is $80,201 above the denoised Fair BaseRate ($30,775) and 4.7× the $23,504 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: 460345312

Filing Period: 197803

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 (52.2% 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 Composite64/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait101 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 Huron Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-02-20·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (108 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 Huron Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Midlands

-73.1%

Integrated Health Plan

+79.7%

Median Household Income$63,082U.S. Census ACS

Local Uninsured Share5.9%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 70/100 · Corroborated CMS CCN 431335 EIN 460345312

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 431335) ↗ Verify IRS Form 990 (EIN 460345312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/31/2026

Validated Rate Rows1,423 (CMS v3.0.0)

File Integrity DigestVerified · CCN 431335

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