Does Community Memorial Hospital publish its standard charges and chargemaster?

Yes. Community Memorial Hospital publishes a machine-readable file with 79,821 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Community Memorial Hospital charge for procedures?

Community Memorial Hospital (Cloquet, MN) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · MN · CCN 241364

Community Memorial Hospital

Cloquet, MN, 55720

22 bedsCritical Access Hospitals2

Compliance grade

93/100

Rates published

79,821

last crawl 2026-05-24

Procedures tracked

129

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MN hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://cloquethospital.com/wp-content/uploads/2024/12/410743546_community-memorial-hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
emergency
ED visit level 1	CPT	99281	1	$254	$170.18	$112	$158.25	1.1×	$254
ED visit level 2	CPT	99282	1	$372	$249.24	$198.5	$285.25	1.2×	$372
ED visit level 3	CPT	99283	1	$587	$393.29	$248	$417.5	1.0×	$587
ED visit level 4	CPT	99284	1	$943	$631.81	$369	$656	0.98×	$943
ED visit level 5	CPT	99285	1	$1,377	$922.59	$596.5	$986.75	0.95×	$1,377
Critical care, first hour	CPT	99291	1	$2,113	$1,415.71	$758	$1,435.5	1.3×	$2,113
imaging
CT head without contrast	CPT	70450	1	$1,956	$1,310.52	$1,956	$1,956	9.4×	$1,956
CT head with contrast	CPT	70460	1	$2,265	$1,517.55	$2,265	$2,265	9.7×	$2,265
CT head with and without contrast	CPT	70470	1	$2,670	$1,788.9	$2,670	$2,670	10.0×	$2,670
CT neck with contrast	CPT	70491	1	$3,114	$2,086.38	$3,114	$3,114	11.4×	$3,114
MRI brain without contrast	CPT	70551	1	$3,909	$2,619.03	$3,909	$3,909	9.7×	$3,909
MRI brain with contrast	CPT	70552	1	$3,909	$2,619.03	$3,909	$3,909	8.2×	$3,909
MRI brain with and without contrast	CPT	70553	1	$5,491	$3,678.97	$5,491	$5,491	9.3×	$5,491
Chest X-ray single view	CPT	71045	1	$425	$284.75	$52.5	$238.75	2.5×	$425
Chest X-ray 2 views	CPT	71046	1	$456	$305.52	$62.5	$259.25	2.6×	$456
Chest X-ray 3 views	CPT	71047	1	$73	$48.91	$73	$73	0.76×	$73
CT chest without contrast	CPT	71250	1	$1,952	$1,307.84	$1,952	$1,952	9.1×	$1,952
CT chest with contrast	CPT	71260	1	$2,157	$1,445.19	$2,157	$2,157	7.7×	$2,157
CT chest with and without contrast	CPT	71270	1	$2,605	$1,745.35	$2,605	$2,605	8.9×	$2,605
MRI chest without contrast	CPT	71550	1	$3,909	$2,619.03	$3,909	$3,909	9.1×	$3,909
MRI chest with and without contrast	CPT	71552	1	$5,491	$3,678.97	$3,909	$4,700	7.8×	$5,491
Lumbosacral spine X-ray	CPT	72100	1	$679	$454.93	$62.5	$370.75	3.6×	$679
CT cervical spine without contrast	CPT	72125	1	$3,325	$2,227.75	$3,325	$3,325	16.5×	$3,325
CT thoracic spine without contrast	CPT	72128	1	$2,948	$1,975.16	$2,948	$2,948	14.8×	$2,948
CT lumbar spine without contrast	CPT	72131	1	$3,325	$2,227.75	$3,325	$3,325	16.4×	$3,325
MRI cervical spine without contrast	CPT	72141	1	$3,909	$2,619.03	$3,909	$3,909	9.8×	$3,909
MRI thoracic spine without contrast	CPT	72146	1	$3,909	$2,619.03	$3,909	$3,909	10.5×	$3,909
MRI lumbar spine without contrast	CPT	72148	1	$3,909	$2,619.03	$3,909	$3,909	10.4×	$3,909
MRI lumbar spine with and without contrast	CPT	72149	1	$3,909	$2,619.03	$3,909	$3,909	8.6×	$3,909
MRI cervical spine with and without contrast	CPT	72156	1	$5,491	$3,678.97	$5,491	$5,491	10.2×	$5,491
MRI lumbar spine with contrast	CPT	72158	1	$5,491	$3,678.97	$5,491	$5,491	10.0×	$5,491
CT pelvis without contrast	CPT	72192	1	$2,338	$1,566.46	$2,338	$2,338	11.7×	$2,338
CT pelvis with contrast	CPT	72193	1	$2,338	$1,566.46	$2,338	$2,338	8.3×	$2,338
Shoulder X-ray	CPT	73030	1	$468	$313.56	$52.5	$260.25	2.8×	$468
Humerus X-ray	CPT	73060	1	$390	$261.3	$50.5	$220.25	2.5×	$390
Hand X-ray 3 views	CPT	73130	1	$366	$245.22	$50.5	$208.25	2.2×	$366
MRI upper extremity joint without contrast	CPT	73221	1	$3,909	$2,619.03	$3,909	$3,909	9.4×	$3,909
MRI upper extremity joint with and without contrast	CPT	73223	1	$5,491	$3,678.97	$5,491	$5,491	9.0×	$5,491
Knee X-ray 1-2 views	CPT	73560	1	$460	$308.2	$52.5	$252	2.7×	$460
Ankle X-ray 3 views	CPT	73610	1	$497	$332.99	$50.5	$273.75	3.0×	$497
MRI lower extremity joint without contrast	CPT	73721	1	$3,909	$2,619.03	$3,909	$3,909	8.4×	$3,909
MRI lower extremity joint with and without contrast	CPT	73723	1	$5,491	$3,678.97	$5,491	$5,491	8.7×	$5,491
CT abdomen without contrast	CPT	74150	1	$2,338	$1,566.46	$2,338	$2,338	12.4×	$2,338
CT abdomen with contrast	CPT	74160	1	$2,587	$1,733.29	$2,587	$2,587	9.0×	$2,587
CT abdomen with and without contrast	CPT	74170	1	$2,660	$1,782.2	$2,660	$2,660	8.0×	$2,660
CT abdomen and pelvis without contrast	CPT	74176	1	$4,671	$3,129.57	$624	$2,647.5	7.3×	$4,671
CT abdomen and pelvis with contrast	CPT	74177	1	$4,917	$3,294.39	$667.5	$2,792.25	5.1×	$4,917
CT abdomen and pelvis with and without contrast	CPT	74178	1	$4,992	$3,344.64	$703.5	$2,847.75	5.0×	$4,992
MRI abdomen without contrast	CPT	74181	1	$3,909	$2,619.03	$3,909	$3,909	10.0×	$3,909
MRI abdomen with and without contrast	CPT	74183	1	$5,491	$3,678.97	$5,491	$5,491	9.7×	$5,491
Abdominal ultrasound complete	CPT	76700	1	$1,541	$1,032.47	$1,541	$1,541	10.3×	$1,541
Abdominal ultrasound limited	CPT	76705	1	$1,439	$964.13	$959	$1,199	8.2×	$1,439
Retroperitoneal ultrasound complete	CPT	76770	1	$959	$642.53	$959	$959	6.7×	$959
Obstetric ultrasound first trimester	CPT	76801	1	$1,255	$840.85	$275.5	$765.25	5.4×	$1,255
Obstetric ultrasound after first trimester	CPT	76805	1	$1,541	$1,032.47	$1,541	$1,541	10.1×	$1,541
Transvaginal ultrasound	CPT	76830	1	$819	$548.73	$819	$819	5.5×	$819
Pelvic ultrasound complete	CPT	76856	1	$1,255	$840.85	$1,255	$1,255	8.8×	$1,255
Scrotal ultrasound	CPT	76870	1	$959	$642.53	$959	$959	7.3×	$959
Diagnostic mammography unilateral	CPT	77065	1	$559	$374.53	$114	$435	2.9×	$559
Diagnostic mammography bilateral	CPT	77066	1	$595	$398.65	$152.5	$471	2.5×	$595
Screening mammography bilateral	CPT	77067	1	$595	$398.65	$100	$471	3.0×	$595
EKG tracing only	CPT	93005	1	$351	$235.17	$341	$346	2.9×	$351
EKG interpretation only	CPT	93010	1	$110	$73.7	$110	$110	6.1×	$110
Transthoracic echocardiogram complete	CPT	93306	1	$2,233	$1,496.11	$2,233	$2,233	3.7×	$2,233
Stress echocardiogram	CPT	93350	1	$1,802	$1,207.34	$1,802	$1,802	3.6×	$1,802
inpatient
Initial hospital care, low complexity	CPT	99221	1	$155	$103.85	$155	$155	1.7×	$155
Initial hospital care, moderate complexity	CPT	99222	1	$255	$170.85	$255	$255	1.5×	$255
Initial hospital care, high complexity	CPT	99223	1	$360	$241.2	$360	$360	1.6×	$360
Hospital discharge, <30 min	CPT	99238	1	$165	$110.55	$165	$165	1.9×	$165
Hospital discharge, >30 min	CPT	99239	1	$200	$134	$200	$200	1.6×	$200
lab
Basic metabolic panel (BMP)	CPT	80048	1	$315	$211.05	$315	$315	9.7×	$315
General health panel	CPT	80050	1	$563	$377.21	$563	$563	5.2×	$563
Electrolyte panel	CPT	80051	1	$205	$137.35	$205	$205	8.6×	$205
Comprehensive metabolic panel	CPT	80053	1	$377	$252.59	$377	$377	8.5×	$377
Lipid panel	CPT	80061	1	$330	$221.1	$330	$330	8.6×	$330
Renal function panel	CPT	80069	1	$205	$137.35	$205	$205	7.5×	$205
Hepatic function panel	CPT	80076	1	$250	$167.5	$250	$250	9.4×	$250
Urinalysis non-automated	CPT	81002	1	$162	$108.54	$162	$162	23.3×	$162
Urinalysis automated	CPT	81003	1	$66	$44.22	$58	$62	4.5×	$66
Glucose quantitative	CPT	82947	1	$163	$109.21	$163	$163	9.3×	$163
Hemoglobin A1c	CPT	83036	1	$285	$190.95	$285	$285	10.6×	$285
Thyroid stimulating hormone (TSH)	CPT	84443	1	$289	$193.63	$90	$189.5	4.0×	$289
Complete blood count with automated differential	CPT	85025	1	$187	$125.29	$26	$106.5	4.0×	$187
Complete blood count without differential	CPT	85027	1	$187	$125.29	$187	$187	8.7×	$187
Urine culture bacterial	CPT	87086	1	$195	$130.65	$14	$104.5	4.5×	$195
Tissue exam by pathologist level IV	CPT	88305	1	$200	$134	$200	$200	2.0×	$200
maternity
Fetal non-stress test	CPT	59025	1	$1,089	$729.63	$160.5	$548	2.9×	$1,089
Routine obstetric care including vaginal delivery	CPT	59400	1	$3,750	$2,512.5	$3,750	$3,750	1.6×	$3,750
Vaginal delivery only	CPT	59409	1	$2,060	$1,380.2	$2,060	$2,060	0.93×	$2,060
Vaginal delivery with postpartum	CPT	59410	1	$2,350	$1,574.5	$2,350	$2,350	2.2×	$2,350
Routine obstetric care with C-section	CPT	59510	1	$4,705	$3,152.35	$4,705	$4,705	1.9×	$4,705
C-section delivery only	CPT	59514	1	$3,860	$2,586.2	$3,860	$3,860	4.0×	$3,860
C-section with postpartum	CPT	59515	1	$2,800	$1,876	$2,800	$2,800	2.2×	$2,800
office
Office visit, new patient, 15-29 min	CPT	99202	1	$219	$146.73	$50	$153.5	1.8×	$219
Office visit, new patient, 30-44 minutes	CPT	99203	1	$289	$193.63	$72.25	$249.38	2.0×	$289
Office visit, new patient, 45-59 min	CPT	99204	1	$376	$251.92	$79.25	$277.38	1.6×	$376
Office visit, new patient, 60-74 min	CPT	99205	1	$500	$335	$96	$288	1.3×	$500
Office visit, established patient, 5 min	CPT	99211	1	$343	$229.81	$12.5	$48	0.75×	$343
Office visit, established patient, 10-19 min	CPT	99212	1	$219	$146.73	$29	$101.5	1.3×	$219
Office visit, established patient, 20-29 minutes	CPT	99213	1	$233	$156.11	$48.75	$170.63	1.5×	$233
Office visit, established patient, 30-39 minutes	CPT	99214	1	$304	$203.68	$76	$255	1.7×	$304
Office visit, established patient, 40-54 min	CPT	99215	1	$429	$287.43	$107.25	$321.75	1.7×	$429
preventive
Upper GI endoscopy diagnostic	CPT	43235	1	$790.5	$529.64	$790.5	$790.5	0.86×	$790.5
Upper GI endoscopy with biopsy	CPT	43239	1	$849.5	$569.17	$849.5	$849.5	0.88×	$849.5
Sigmoidoscopy diagnostic	CPT	45330	1	$1,529	$1,024.43	$293.5	$911.25	1.1×	$1,529
Sigmoidoscopy with biopsy	CPT	45331	1	$341	$228.47	$341	$341	0.38×	$341
Colonoscopy diagnostic	CPT	45378	1	$1,130	$757.1	$1,130	$1,130	1.3×	$1,130
Colonoscopy with biopsy	CPT	45380	1	$1,202	$805.34	$1,202	$1,202	0.99×	$1,202
Colonoscopy with polyp removal	CPT	45385	1	$1,480	$991.6	$1,480	$1,480	1.2×	$1,480
surgery
Total shoulder arthroplasty	CPT	23472	1	$4,745	$3,179.15	$4,745	$4,745	1.1×	$4,745
Hip hemiarthroplasty	CPT	27125	1	$3,756.5	$2,516.86	$3,756.5	$3,756.5	3.0×	$3,756.5
Total hip replacement	CPT	27130	1	$4,896	$3,280.32	$4,896	$4,896	1.1×	$4,896
Total knee replacement	CPT	27447	1	$5,564.5	$3,728.22	$5,564.5	$5,564.5	1.3×	$5,564.5
Knee revision arthroplasty single component	CPT	27486	1	$5,405	$3,621.35	$5,405	$5,405	3.2×	$5,405
Knee revision arthroplasty all components	CPT	27487	1	$7,273	$4,872.91	$7,273	$7,273	3.6×	$7,273
Shoulder arthroscopy with decompression	CPT	29826	1	$1,150	$770.5	$1,150	$1,150	3.5×	$1,150
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	$3,030	$2,030.1	$3,030	$3,030	0.92×	$3,030
Knee arthroscopy with meniscectomy	CPT	29881	1	$1,949.5	$1,306.17	$1,949.5	$1,949.5	0.95×	$1,949.5
ACL reconstruction	CPT	29888	1	$4,590	$3,075.3	$4,590	$4,590	1.4×	$4,590
Open appendectomy	CPT	44950	1	$1,658	$1,110.86	$1,658	$1,658	1.5×	$1,658
Laparoscopic appendectomy	CPT	44970	1	$1,606	$1,076.02	$1,606	$1,606	1.0×	$1,606
Laparoscopic cholecystectomy	CPT	47562	1	$2,063	$1,382.21	$2,063	$2,063	1.2×	$2,063
Lap cholecystectomy with cholangiography	CPT	47563	1	$2,223.5	$1,489.75	$2,223.5	$2,223.5	1.2×	$2,223.5
Lap inguinal hernia repair	CPT	49650	1	$1,862.5	$1,247.88	$1,862.5	$1,862.5	1.7×	$1,862.5
Total abdominal hysterectomy	CPT	58150	1	$4,868.5	$3,261.9	$4,868.5	$4,868.5	5.0×	$4,868.5
Vaginal hysterectomy	CPT	58260	1	$4,485	$3,004.95	$4,485	$4,485	2.5×	$4,485
Lap-assisted vaginal hysterectomy	CPT	58550	1	$3,050	$2,043.5	$3,050	$3,050	2.1×	$3,050
Lap-assisted vaginal hysterectomy >250g	CPT	58552	1	$4,491	$3,008.97	$4,491	$4,491	2.0×	$4,491
Lap salpingo-oophorectomy	CPT	58661	1	$3,727	$2,497.09	$2,519	$3,123	1.5×	$3,727

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 1)

Payer	Codes covered	Median rate
hp	129	$445.5

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