How many shoppable procedure prices are published for South Peninsula Hospital?

South Peninsula Hospital in Homer, AK currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do South Peninsula Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, South Peninsula Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 21 Beds · rural Updated: 2026-05-11

South Peninsula Hospital

4300 Bartlett St, Homer, AK 99603 · 101 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.85×vs. Fair Market Price

Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness85

Price Logic73

Peer Alignment62

Clean Billing85

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

South Peninsula Hospital maintains disciplined commercial pricing across both elective shoppable care (1.1× Medicare) and captive emergency/ancillary departments (1.4× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.85× Fair BaseRate) without hidden ancillary cross-subsidization.

#3 of 9 in AK · 22nd State Percentile#416 of 3,385 in U.S. · 12th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 80% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (81.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.85× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.6×) & laboratory (1.5×) services average 1.27× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.12×) jump +38% above the median procedure ratio (Q50 0.81×)
Unnegotiated chargemaster list prices average 10.4× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.27× Divergence

1.4× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 0.45× · Q50 0.81× · Q75 1.12×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.3× MedicareGood

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

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at South Peninsula Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$78,221	$78,221	$19,432	4.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$42,894	$42,894	$19,087	2.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,418	$23,418	$8,223	2.8×
C-section delivery (full package) CPT Code: `59510`	$10,367	$8,024	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$10,388	$7,239	$2,680	2.7×
Total hip replacement CPT Code: `27130`	$11,130	$4,748	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$11,344	$4,741	$13,523	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,248	$2,409	$6,109	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,979	$1,951	$3,372	0.6×
Blood transfusion CPT Code: `36430`	$1,556	$1,556	$498	3.1×
Breast lump removal CPT Code: `19120`	$2,481	$1,517	$3,875	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,322	$1,322	$201	6.6×
Colonoscopy with biopsy CPT Code: `45380`	$2,191	$725	$1,256	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,946	$669	$981	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,731	$500	$987	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,779	$460	$1,021	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$412	$412	$86	4.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,457	$422	$511	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$353	$353	$64	5.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,490	$320	$303	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,780	$336	$448	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,938	$274	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,955	$273	$343	0.8×
Prosthetic fitting and training CPT Code: `97761`	$221	$221	$45	4.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$370	$246	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$451	$249	$185	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,901	$271	$583	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$320	$210	$110	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$311	$217	$123	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,870	$234	$258	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,806	$250	$369	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$169	$169	$38	4.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$379	$185	$148	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,410	$207	$167	1.2×
CT scan, pelvis CPT Code: `72192`	$1,336	$200	$163	1.2×
Family therapy session CPT Code: `90847`	$388	$194	$173	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,425	$185	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,385	$185	$169	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,556	$208	$242	0.9×
Physical therapy (gait training) CPT Code: `97116`	$142	$142	$33	4.3×
Physical therapy (manual therapy) CPT Code: `97140`	$142	$142	$34	4.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$142	$142	$35	4.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$142	$142	$38	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$142	$142	$38	3.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$142	$142	$40	3.5×
Orthotic fitting and training CPT Code: `97760`	$159	$159	$51	3.1×
Screening mammogram (both breasts) CPT Code: `77067`	$317	$141	$123	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$632	$150	$134	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$290	$166	$166	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,405	$157	$160	1.0×
CT scan, sinuses CPT Code: `70486`	$1,392	$158	$166	1.0×
Speech therapy (group session) CPT Code: `92508`	$119	$119	$27	4.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$218	$141	$87	1.6×
Ultrasound, pelvis CPT Code: `76856`	$588	$127	$130	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$423	$109	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$467	$104	$132	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$855	$127	$272	0.5×
Typhoid vaccine HCPCS Code: `90675`	$892	$892	$347	2.6×
Culture, blood CPT Code: `87040`	$236	$236	$11	21.5×
Blood antibody screen CPT Code: `86850`	$214	$214	$46	4.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$174	$174	$6	29.0×
Culture, bacterial CPT Code: `87070`	$193	$193	$9	21.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$163	$163	$11	14.8×
Blood test, vitamin D CPT Code: `82306`	$162	$162	$31	5.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$179	$179	$203	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$152	$152	$8	19.0×
Hepatitis C antibody test CPT Code: `86803`	$172	$172	$15	11.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$178	$178	$111	1.6×
Blood test, calcium CPT Code: `82310`	$120	$120	$5	24.0×
Blood test, lipase CPT Code: `83690`	$122	$122	$7	17.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$138	$138	$14	9.9×
Blood test, vitamin B12 CPT Code: `82607`	$139	$139	$16	8.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$137	$18	7.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$137	$137	$19	7.2×
Blood test, amylase CPT Code: `82150`	$105	$105	$7	15.0×
Blood test, basic metabolic panel CPT Code: `80048`	$122	$122	$9	13.6×
Blood test, liver function panel CPT Code: `80076`	$117	$117	$9	13.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$108	$108	$10	10.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$116	$116	$14	8.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$74	$74	$3	24.7×
Blood test, hemoglobin CPT Code: `85018`	$57	$57	$3	19.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$65	$5	13.0×
Blood test, magnesium CPT Code: `83735`	$77	$77	$7	11.0×
Hepatitis B vaccine HCPCS Code: `90744`	$73	$73	$37	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$95	$95	$56	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$50	$4	12.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$50	$50	$4	12.5×
Blood test, sodium CPT Code: `84295`	$60	$60	$5	12.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$49	$5	9.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$284	$59	$25	2.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$48	$25	1.9×
X-ray, hip CPT Code: `73502`	$311	$42	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$381	$41	$93	0.4×
X-ray, lower back CPT Code: `72110`	$393	$49	$112	0.4×
X-ray, chest (two views) CPT Code: `71046`	$343	$40	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$359	$35	$92	0.4×
X-ray, chest (single view) CPT Code: `71045`	$247	$34	$92	0.4×
X-ray, hand CPT Code: `73130`	$377	$33	$93	0.4×
X-ray, ankle CPT Code: `73610`	$333	$33	$93	0.4×
X-ray, foot CPT Code: `73630`	$360	$32	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$240	$33	$110	0.3×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 81.7%

Audit a Bill or Quote at South Peninsula Hospital (Zero PHI Required)

CMS CCN: 021313

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $78,221

Insurer Median $78,221

1. Amount on Your Bill or Quote ($) Pre-filled with South Peninsula Hospital’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: $85,167 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $85,167

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (81.7% of gross = $85,167).

Step 2 · Cash vs. Insurance Arbitrage Save $26,074 Paying Cash

Self-Pay Cash Rate ($78,221) Beats Your Bill

South Peninsula Hospital's published 45 CFR § 180 self-pay cash rate is $78,221 (vs. $78,221 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$84,863 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($104,295) is $84,863 above the denoised Fair BaseRate ($19,432) and 7.4× the $14,044 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: 920037099

Filing Period: 197208

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 (81.7% 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

Safety Composite71/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait136 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 South Peninsula Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-07-03·administrative_or_closure
Closure Notice
Recorded
2024-03-26·warning_notice
Warning Notice
Recorded
2023-05-11·administrative_or_closure
Closure Notice
Recorded
2023-02-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (97 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for South Peninsula Hospital.

Price Index: 1.85× regional baseline

Quality: 59/100 CMS composite

Median Household Income$77,722U.S. Census ACS

Local Uninsured Share11.7%Regional ACS estimate

200% FPL (1 Person)$39,900Common free-care ceiling

400% FPL (Family of 4)$160,760Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 021313 EIN 920037099

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 021313) ↗ Verify IRS Form 990 (EIN 920037099) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-05-11 · 22.54 MB

Validated Rate Rows2,370 (CMS v3.0.0)

File Integrity Digest90d498ff4e847a54fa8e…

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