Falls City, NE
33
In-network payers
77
Disclosed rate categories
24
Beds
4
Care quality
Community Medical Center Inc. is a 24-bed voluntary non-profit - private hospital in Falls City, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 77 disclosed rate categories.
CCN (Medicare provider number)
281352
NPI
1881643484
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
24
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Community Medical Center Inc. most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$2,816 - $3,699
from 4 insurers · median $3,531
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,397 - $1,501
from 4 insurers · median $1,453
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,260 - $3,114
from 4 insurers · median $3,014
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,737 - $5,519
from 4 insurers · median $5,311
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,735 - $3,558
from 4 insurers · median $3,397
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,082 - $2,710
from 4 insurers · median $2,587
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$4,246 - $6,284
from 4 insurers · median $5,850
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,748 - $5,572
from 4 insurers · median $4,529
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,686 - $3,531
from 4 insurers · median $3,336
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$54,276 - $69,274
from 4 insurers · median $66,703
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78815
$4,980 - $6,479
from 4 insurers · median $6,185
Hospital reports pet scan services to CMS
Mammography
CPT 77067
$239 - $426
from 4 insurers · median $336
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$25,512 - $32,561
from 4 insurers · median $31,353
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,191 - $2,797
from 4 insurers · median $2,693
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,570 - $7,108
from 4 insurers · median $6,845
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$131 - $289
from 4 insurers · median $280
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,414 - $4,056
from 4 insurers · median $3,341
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,442 - $3,357
from 4 insurers · median $3,250
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72148
$1,991 - $2,277
from 4 insurers · median $2,150
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,361 - $9,933
from 4 insurers · median $8,591
Typical for a hospital with this service line
Ultrasound
CPT 76705
$602 - $783
from 4 insurers · median $748
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,500 - $2,812
from 4 insurers · median $1,945
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$11,969 - $15,277
from 4 insurers · median $14,710
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$657 - $839
from 4 insurers · median $815
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 555% | 11 | 0 |
| Insurer B* | 24 | 534% | 20 | 1 |
| Insurer C* | 24 | 524% | 20 | 0 |
| Insurer D* | 24 | 388% | 21 | 1 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Community Medical Center Inc..
3307 Barada Street, Falls City, NE 68355
(402) 245-2428
The nearest hospitals of similar type and size. Their rates are compared with Community Medical Center Inc. for the same insurers and services above.
Sabetha Community Hospital
▼ Rates typically 65% lower than Community Medical Center Inc. (24 services)
Hiawatha Community Hospital
▼ Rates typically 46% lower than Community Medical Center Inc. (24 services)
Community Hospital Association Inc.
▼ Rates typically 59% lower than Community Medical Center Inc. (23 services)
Nemaha County Hospital
Rates about the same as Community Medical Center Inc. (21 services)
Pawnee County Memorial Hospital
Rates about the same as Community Medical Center Inc. (22 services)
Nemaha Valley Community Hospital
▼ Rates typically 59% lower than Community Medical Center Inc. (24 services)
Avera St. Anthony S Hospital
Cherry County Hospital
Crete Area Medical Center
Niobrara Valley Hospital
About Community Medical Center Inc.'s rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Community Medical Center Inc. range from $2,686 to $3,531 across 4 insurers. UnitedHealthcare's rate is $3,244. The median at nearby comparable hospitals is $2,161. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Community Medical Center Inc. range from $2,816 to $3,699 across 4 insurers. Blue Cross Blue Shield's rate is $2,816. The median at nearby comparable hospitals is $1,778. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Community Medical Center Inc. range from $4,246 to $6,284 across 4 insurers. Cigna's rate is $6,284. The median at nearby comparable hospitals is $938. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Community Medical Center Inc. range from $239 to $426 across 4 insurers. Cigna's rate is $346. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Community Medical Center Inc. range from $54,276 to $69,274 across 4 insurers. Aetna's rate is $67,845. The median at nearby comparable hospitals is $21,044. What a patient pays depends on their plan's deductible, coinsurance and network status.
Community Medical Center Inc. has 24 beds. Facility type: Critical Access Hospital.
Community Medical Center Inc. is located at 3307 Barada Street, Falls City, NE 68355. Its main phone number is (402) 245-2428.
Community Medical Center Inc.'s CMS Certification Number (CCN), also called its Medicare provider number, is 281352.
The National Provider Identifier (NPI) on file for Community Medical Center Inc. is 1881643484.
Community Medical Center Inc. lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
77 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers