How many shoppable procedure prices are published for Benson Hospital?

Benson Hospital in Benson, AZ currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Benson Hospital's median negotiated commercial rate is 3.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 22 Beds · rural Updated: 2026-05-13

Benson Hospital

450 South Ocotillo Avenue, Benson, AZ 85602 · 127 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

3.65×vs. Fair Market Price

Typical commercial prices here are +265% above the fair benchmark (3.65×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 94% of the Time

File Completeness100

Price Logic20

Peer Alignment61

Clean Billing74

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +21% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Benson Hospital prices routine shoppable procedures at 3.8× Medicare (median 3.75× Fair BaseRate) while upper-quartile commercial rates jump +21% to 4.52× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#56 of 56 in AZ · 98th State Percentile#3,372 of 3,385 in U.S. · 99th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 94% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (78/100 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 (37.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 3.75× Fair BaseRate (3.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 4.52×) jump +21% above the median procedure ratio (Q50 3.75×)
Consolidated metro market (HHI 8,142) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.8× Medicare

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

Back-Door Captive & ER0.45× Divergence

1.7× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 1.93× · Q50 3.75× · Q75 4.52×

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

3.8× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.9× MedicareGood

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

94% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 78/100Fair

Procedure Prices at Benson Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$34,116	$17,936	1.9×
Total hip replacement CPT Code: `27130`	—	$31,725	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$31,725	$13,523	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$26,631	$19,432	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,865	$19,087	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$15,863	$6,109	2.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$11,788	$2,680	4.4×
C-section delivery (full package) CPT Code: `59510`	—	$11,788	$2,975	4.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$11,115	$2,540	4.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,469	$3,372	2.2×
Inguinal hernia repair CPT Code: `49505`	—	$7,469	$3,629	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,195	$8,223	0.9×
Bunion correction surgery CPT Code: `28296`	—	$6,047	$3,446	1.8×
Breast lump removal CPT Code: `19120`	—	$6,047	$3,875	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$5,282	$987	5.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$5,282	$1,256	4.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$5,282	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$3,622	$855	4.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$2,064	$406	5.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,421	$2,016	$448	4.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,453	$1,949	$511	3.8×
Mental health services (assessment) HCPCS Code: `H0031`	—	$1,605	$140	11.5×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,376	$269	5.1×
Behavioral health assessment HCPCS Code: `H0001`	—	$1,261	$157	8.0×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,261	$257	4.9×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,261	$364	3.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,020	$1,275	$369	3.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,021	$1,165	$343	3.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,162	$1,118	$338	3.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$881	$1,043	$258	4.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,298	$932	$303	3.1×
Neurobehavioral status check CPT Code: `96116`	—	$883	$231	3.8×
CT scan, head (with contrast) CPT Code: `70460`	$734	$869	$242	3.6×
Behavioral health day treatment HCPCS Code: `H0010`	—	$879	$343	2.6×
CT scan, sinuses CPT Code: `70486`	$420	$805	$166	4.8×
CT scan, pelvis CPT Code: `72192`	$644	$752	$163	4.6×
CT scan, chest (no contrast) CPT Code: `71250`	$614	$755	$167	4.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$601	$761	$169	4.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$627	$755	$168	4.5×
Care planning with family CPT Code: `90887`	—	$719	$107	6.7×
Review of medical records for care CPT Code: `90889`	—	$719	$114	6.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$676	$148	4.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$677	$166	4.1×
CT scan, head (no contrast) CPT Code: `70450`	$581	$607	$160	3.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$558	$123	4.5×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$452	$88	5.1×
Behavioral health day program HCPCS Code: `H2012`	—	$452	$100	4.5×
Trauma team activation HCPCS Code: `G0390`	$432	$432	$1,453	0.3×
Psychological testing by technician CPT Code: `96138`	—	$348	$395	0.9×
Blood transfusion CPT Code: `36430`	$361	$361	$498	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$360	$360	$583	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$318	$318	$272	unverified
Group therapy session CPT Code: `90853`	—	$287	$100	2.9×
X-ray, lower back CPT Code: `72110`	$179	$256	$112	2.3×
Behavioral health living support HCPCS Code: `H2019`	—	$203	$34	6.0×
Speech therapy (language evaluation) CPT Code: `92507`	$204	$204	$86	2.4×
Psychological testing evaluation CPT Code: `96136`	—	$226	$128	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$108	$190	$93	2.0×
X-ray, shoulder CPT Code: `73030`	$85	$168	$92	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$131	$35	3.7×
X-ray, chest (two views) CPT Code: `71046`	$100	$153	$93	1.6×
Ultrasound, pelvis CPT Code: `76856`	$177	$177	$130	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$164	$164	$134	1.2×
Community mental health services HCPCS Code: `H0038`	—	$103	$16	6.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$93	$123	$64	1.9×
X-ray, chest (single view) CPT Code: `71045`	$117	$113	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$90	$129	$110	1.2×
X-ray, hip CPT Code: `73502`	$106	$106	$93	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$128	$128	$126	1.0×
X-ray, foot CPT Code: `73630`	$82	$82	$92	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$98	$98	$132	0.7×
Blood test, vitamin D CPT Code: `82306`	$163	$163	$31	5.3×
Hepatitis C antibody test CPT Code: `86803`	$48	$48	$15	3.2×
Blood test, vitamin B12 CPT Code: `82607`	$48	$48	$16	3.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$52	$19	2.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$52	$52	$20	2.6×
Speech therapy (group session) CPT Code: `92508`	$62	$62	$27	2.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$48	$35	1.4×
Blood antibody screen CPT Code: `86850`	$62	$62	$46	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	—	$60	$49	1.2×
X-ray, hand CPT Code: `73130`	$71	$71	$93	0.8×
X-ray, ankle CPT Code: `73610`	$71	$71	$93	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$59	$59	$86	0.7×
Blood test, liver function panel CPT Code: `80076`	$30	$30	$9	3.3×
Culture, bacterial CPT Code: `87070`	$29	$29	$9	3.2×
Culture, blood CPT Code: `87040`	$33	$33	$11	3.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$29	$29	$10	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$48	$48	$40	1.2×
Blood test, lipase CPT Code: `83690`	$20	$20	$7	2.9×
Blood test, magnesium CPT Code: `83735`	$20	$20	$7	2.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$39	$39	$14	2.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$39	$39	$14	2.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$21	$21	$8	2.6×
Blood test, amylase CPT Code: `82150`	$17	$17	$7	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$42	$38	1.1×
Drug screening test HCPCS Code: `G0480`	$64	$64	$116	0.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$38	$33	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$8	$8	$6	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$16	$14	1.1×
Physical therapy (gait training) CPT Code: `97116`	$33	$33	$33	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$33	$33	$34	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$6	$6	$5	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$26	$26	$25	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$17	$18	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$35	$35	$38	0.9×
Blood test, calcium CPT Code: `82310`	$4	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$4	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$4	$4	$5	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$8	$8	$11	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$26	$26	$38	0.7×
Prosthetic fitting and training CPT Code: `97761`	$29	$29	$45	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$26	$26	$56	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$38	$38	$87	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$42	$42	$110	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$35	$35	$111	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$38	$38	$123	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$33	$33	$140	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$40	$40	$201	0.2×
Orthotic fitting and training CPT Code: `97760`	$30	$30	$51	unverified
Blood test, sodium CPT Code: `84295`	$4	$4	$5	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$6	$6	$9	0.7×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$10	$10	$48	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$10	$10	$49	0.2×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 37.0%

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

CMS CCN: 031301

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $34,116

1. Amount on Your Bill or Quote ($) Pre-filled with Benson 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: $30,319 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $30,319

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.0% of gross = $30,319).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Benson Hospital'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 +$63,942 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($81,878) is $63,942 above the denoised Fair BaseRate ($17,936) and 6.4× the $12,807 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: 866007695

Filing Period: 196301

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 (37.0% 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 Composite78/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait155 min

Source: CMS Hospital Care Compare (72 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

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

Price Index: 1.17× regional baseline

Quality: 56/100 CMS composite

Median Household Income$58,970U.S. Census ACS

Local Uninsured Share8.0%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 68/100 · Caution CMS CCN 031301 EIN 866007695

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 031301) ↗ Verify IRS Form 990 (EIN 866007695) ↗ CMS HCRIS Cost Reports ↗

Published MRF File866007695_benson-hospital-corporation_standardcharges.csv

Publication / Vintage2026-05-13 · 23.27 MB

Validated Rate Rows435 (CMS v3.0.0)

File Integrity Digest7ae4cd79716e4be6278c…

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