How many shoppable procedure prices are published for Adventist Health Howard Memorial?

Adventist Health Howard Memorial in Willits, CA currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Adventist Health Howard Memorial's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Adventist Health Howard Memorial's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Adventist Health Howard Memorial's CMS Care Compare overall star rating?

CMS Care Compare assigns Adventist Health Howard Memorial an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-05-20

Adventist Health Howard Memorial

1 Marcela Dr, Willits, CA 95490 · 121 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.67×vs. Fair Market Price

Typical commercial prices here are 33% below the fair benchmark (0.67×) after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 70% of the Time

File Completeness60

Price Logic40

Peer Alignment66

Clean Billing93

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.67× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Adventist Health Howard Memorial maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.53× Fair BaseRate) and emergency/ancillary services (1.5× Medicare, p75 1.05× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#6 of 240 in CA · 2nd State Percentile#111 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 33% below peer Fair BaseRate (0.67×)
Self-pay cash beats commercial insurance on 70% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 83% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (38.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.67× 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 (1.4×) & laboratory (2.1×) services average 1.88× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.05×) jump +98% above the median procedure ratio (Q50 0.53×)
Consolidated metro market (HHI 4,523) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.88× Divergence

1.5× Medicare

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

Quantile Tail Spread+98% Upper Tail

Q25 0.30× · Q50 0.53× · Q75 1.05×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

0.8× MedicareGood

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

70% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 74/100Fair

Procedure Prices at Adventist Health Howard Memorial

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	$29,020	$29,020	$19,432	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,410	$25,410	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,363	$7,363	$8,223	0.9×
Trauma team activation HCPCS Code: `G0390`	$1,679	$3,646	$1,453	unverified
C-section delivery (full package) CPT Code: `59510`	$2,670	$3,109	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	$2,422	$2,803	$2,680	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$569	$700	$2,540	0.3×
Bunion correction surgery CPT Code: `28296`	$547	$675	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$310	$691	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$595	$579	$3,875	0.1×
Rabies immune globulin HCPCS Code: `90375`	$444	$452	$322	1.4×
Blood transfusion CPT Code: `36430`	$392	$392	$498	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$187	$244	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$203	$264	$1,256	0.2×
X-ray, lower back CPT Code: `72110`	$228	$228	$112	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$288	$245	$1,021	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$102	$195	$181	1.1×
Total hip replacement CPT Code: `27130`	$211	$211	$13,413	0.0×
Total knee replacement CPT Code: `27447`	$211	$211	$13,523	0.0×
X-ray, shoulder CPT Code: `73030`	$152	$152	$92	1.7×
X-ray, hip CPT Code: `73502`	$136	$136	$93	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,539	$160	$511	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$140	$182	$987	0.2×
X-ray, ankle CPT Code: `73610`	$156	$156	$93	1.7×
Family therapy session CPT Code: `90847`	$78	$170	$173	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$109	$163	$185	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$117	$86	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$67	$124	$123	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$72	$135	$166	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,209	$148	$448	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$241	$136	$583	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$109	$109	$86	1.3×
X-ray, pelvis CPT Code: `72170`	$114	$114	$110	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$47	$84	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$58	$104	$110	0.9×
Care planning with family CPT Code: `90887`	$42	$98	$107	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,058	$123	$303	0.4×
Review of medical records for care CPT Code: `90889`	$37	$93	$114	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$181	$85	$148	0.6×
CT scan, pelvis CPT Code: `72192`	$522	$88	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$559	$85	$167	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$770	$85	$169	0.5×
Neurobehavioral status check CPT Code: `96116`	$63	$109	$231	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$722	$81	$168	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$724	$103	$258	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$663	$92	$242	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$844	$104	$338	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$705	$103	$343	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$113	$96	$369	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$104	$104	$3,372	0.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$107	$107	$6,109	0.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$101	$101	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$351	$351	$347	unverified
Culture, blood CPT Code: `87040`	$138	$138	$11	12.5×
Pneumococcal vaccine HCPCS Code: `90732`	$87	$141	$140	1.0×
Blood test, amylase CPT Code: `82150`	$79	$79	$7	11.3×
Blood test, lipase CPT Code: `83690`	$79	$79	$7	11.3×
Blood test, liver function panel CPT Code: `80076`	$95	$95	$9	10.6×
Blood test, vitamin D CPT Code: `82306`	$113	$113	$31	3.6×
Blood test, potassium CPT Code: `84132`	$59	$59	$5	11.8×
Culture, bacterial CPT Code: `87070`	$77	$77	$9	8.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$50	$5	10.0×
Blood test, sodium CPT Code: `84295`	$50	$50	$5	10.0×
Blood test, calcium CPT Code: `82310`	$41	$41	$5	8.2×
Blood test, basic metabolic panel CPT Code: `80048`	$54	$54	$9	6.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$65	$65	$11	5.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$46	$46	$8	5.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$64	$64	$14	4.6×
Hepatitis C antibody test CPT Code: `86803`	$59	$59	$15	3.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$23	$51	$14	3.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$65	$65	$18	3.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$67	$67	$40	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$35	$82	$56	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$50	$14	3.6×
Prosthetic fitting and training CPT Code: `97761`	$64	$64	$45	1.4×
X-ray, foot CPT Code: `73630`	$64	$64	$92	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$50	$50	$93	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$164	$65	$123	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$31	$3	10.3×
Occupational therapy (self-care training) CPT Code: `97535`	$47	$48	$38	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$38	$42	$34	1.2×
Blood test, magnesium CPT Code: `83735`	$58	$58	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$73	$19	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$35	$4	8.8×
Speech therapy (group session) CPT Code: `92508`	$46	$46	$27	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$20	$52	$37	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$67	$28	$20	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$23	$45	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$48	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$39	$44	$35	1.3×
Physical therapy (gait training) CPT Code: `97116`	$43	$40	$33	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$58	$40	$35	1.1×
Orthotic fitting and training CPT Code: `97760`	$45	$53	$51	1.0×
X-ray, hand CPT Code: `73130`	$47	$47	$93	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$612	$69	$160	0.4×
CT scan, sinuses CPT Code: `70486`	$870	$70	$166	0.4×
X-ray, chest (two views) CPT Code: `71046`	$42	$42	$93	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$143	$57	$134	0.4×
X-ray, chest (single view) CPT Code: `71045`	$32	$32	$92	0.3×
Ultrasound, pelvis CPT Code: `76856`	$130	$45	$130	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$108	$42	$126	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$231	$65	$272	0.2×
Blood test, vitamin B12 CPT Code: `82607`	$65	$65	$16	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$137	$38	$132	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$11	$6	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$5	$4	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$11	$10	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$17	$23	$25	0.9×
Group therapy session CPT Code: `90853`	$22	$34	$100	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$29	$29	$111	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$48	$48	$203	unverified
Blood test, hemoglobin CPT Code: `85018`	$23	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$11	$11	$25	0.4×
Blood antibody screen CPT Code: `86850`	$18	$18	$46	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$14	$14	$39	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	0.3×
Psychological testing evaluation CPT Code: `96136`	$25	$32	$128	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$11	$64	0.2×
Behavioral health assessment HCPCS Code: `H0001`	$75	$19	$157	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$105	$22	$201	0.1×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 38.8%

Audit a Bill or Quote at Adventist Health Howard Memorial (Zero PHI Required)

CMS CCN: 051310

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $29,020

Insurer Median $29,020

1. Amount on Your Bill or Quote ($) Pre-filled with Adventist Health Howard Memorial’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: $37,561 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $37,561

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.8% of gross = $37,561).

Step 2 · Cash vs. Insurance Arbitrage Save $67,713 Paying Cash

Self-Pay Cash Rate ($29,020) Beats Your Bill

Adventist Health Howard Memorial's published 45 CFR § 180 self-pay cash rate is $29,020 (vs. $29,020 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$77,301 Above Fair BaseRate

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

Your bill ($96,733) is $77,301 above the denoised Fair BaseRate ($19,432) and 6.9× 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)

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 (38.8% 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

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait108 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (180 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Adventist Health Howard Memorial.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Median Household Income$64,688U.S. Census ACS

Local Uninsured Share8.2%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 69/100 · Caution CMS CCN 051310

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 051310) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-05-20 · 175.86 MB

Validated Rate Rows2,864 (CMS v3.0.0)

File Integrity DigestVerified · CCN 051310

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.

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