CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$4,553 - $5,356
from 4 insurers · median $5,008
Typical for a hospital with this service line
Burke, SD
26
In-network payers
204
Disclosed rate categories
16
Beds
Community Memorial Hospital is a 16-bed voluntary non-profit - private hospital in Burke, SD. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 204 disclosed rate categories.
CCN (Medicare provider number)
431309
NPI
1902849516
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
16
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 Memorial Hospital 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
$4,553 - $5,356
from 4 insurers · median $5,008
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,185 - $2,132
from 3 insurers · median $2,014
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,395 - $4,790
from 4 insurers · median $4,191
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,417 - $2,833
from 4 insurers · median $2,479
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,674 - $3,348
from 4 insurers · median $2,930
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,472 - $4,944
from 4 insurers · median $4,326
Typical for a hospital with this service line
Mammography
CPT 77067
$238 - $475
from 4 insurers · median $416
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$372 - $438
from 4 insurers · median $403
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,957 - $3,914
from 4 insurers · median $3,425
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,803 - $3,605
from 4 insurers · median $3,154
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,601 - $5,202
from 4 insurers · median $4,552
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$1,957 - $3,914
from 4 insurers · median $3,425
Typical for a hospital with this service line
Ultrasound
CPT 76705
$810 - $953
from 4 insurers · median $877
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$515 - $1,030
from 4 insurers · median $901
Typical for a hospital with this service line
Ultrasound
CPT 76830
$471 - $942
from 4 insurers · median $824
Typical for a hospital with this service line
Ultrasound
CPT 76856
$492 - $984
from 4 insurers · median $861
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$330 - $659
from 4 insurers · median $577
Typical for a hospital with this service line
Ultrasound
CPT 76536
$490 - $979
from 4 insurers · median $857
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,511 - $5,021
from 4 insurers · median $4,393
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$377 - $443
from 4 insurers · median $408
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$773 - $1,545
from 4 insurers · median $1,352
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$114 - $134
from 4 insurers · median $123
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$232 - $464
from 4 insurers · median $406
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$2,776 - $5,552
from 4 insurers · median $4,858
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* | 23 | 892% | 17 | 1 |
| Insurer B* | 24 | 814% | 0 | 0 |
| Insurer C* | 24 | 769% | 20 | 0 |
| Insurer D* | 24 | 466% | 5 | 19 |
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 Memorial Hospital.
809 Jackson Street, Burke, SD 57523
(605) 775-2621
About Community Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Community Memorial Hospital range from $2,472 to $4,944 across 4 insurers. Blue Cross Blue Shield's rate is $4,944. The median at nearby comparable hospitals is $3,423. 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 Memorial Hospital range from $4,553 to $5,356 across 4 insurers. Aetna's rate is $5,195. The median at nearby comparable hospitals is $2,790. 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 Memorial Hospital range from $238 to $475 across 4 insurers. Cigna's rate is $428. The median at nearby comparable hospitals is $238. What a patient pays depends on their plan's deductible, coinsurance and network status.
Community Memorial Hospital has 16 beds. Facility type: Critical Access Hospital.
Community Memorial Hospital is located at 809 Jackson Street, Burke, SD 57523. Its main phone number is (605) 775-2621.
Community Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 431309.
The National Provider Identifier (NPI) on file for Community Memorial Hospital is 1902849516.
Community Memorial Hospital lists 26 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
204 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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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