How many shoppable procedure prices are published for Adventist Health Reedley?

Adventist Health Reedley in Reedley, CA currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Adventist Health Reedley's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 49 Beds · rural Updated: 2026-08-02

Adventist Health Reedley

372 W Cypress Ave, Reedley, CA 93654 · 119 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness50

Price Logic78

Peer Alignment65

Clean Billing90

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.88× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Adventist Health Reedley prices shoppable and inpatient services (0.8× to 1.2× Medicare, divergence 1.50×) in alignment with regional hospital peers (0.88× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#21 of 240 in CA · 8th State Percentile#530 of 3,385 in U.S. · 15th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.88× 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 (2.2×) & laboratory (2.4×) services average 1.50× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.12×) jump +23% above the median procedure ratio (Q50 0.91×)
Consolidated metro market (HHI 3,609) 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 & ER1.50× Divergence

1.2× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 0.58× · Q50 0.91× · 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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.7× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Adventist Health Reedley

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$10,866	$21,353	$19,087	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,640	$9,679	$8,223	1.2×
C-section delivery (full package) CPT Code: `59510`	$1,691	$2,422	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$1,534	$2,351	$2,680	0.9×
Blood transfusion CPT Code: `36430`	$478	$1,318	$498	unverified
Cataract surgery with lens implant CPT Code: `66984`	$360	$502	$2,540	0.2×
Bunion correction surgery CPT Code: `28296`	$346	$519	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$196	$523	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$344	$516	$3,875	0.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$894	$389	$511	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$118	$376	$981	0.4×
Rabies immune globulin HCPCS Code: `90375`	$133	$346	$322	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$649	$325	$1,021	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$129	$309	$1,256	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$856	$274	$343	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$867	$282	$448	0.6×
Behavioral health assessment HCPCS Code: `H0001`	$48	$250	$157	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$619	$233	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$448	$252	$369	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$152	$268	$583	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$77	$203	$151	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$75	$189	$185	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$89	$205	$987	0.2×
Care planning with family CPT Code: `90887`	$27	$140	$107	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$108	$148	$148	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$70	$164	$181	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$517	$168	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$627	$174	$303	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$24	$125	$86	1.5×
Review of medical records for care CPT Code: `90889`	$23	$123	$114	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$70	$119	$123	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$346	$134	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$389	$134	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$390	$134	$169	0.8×
CT scan, pelvis CPT Code: `72192`	$38	$128	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$451	$123	$166	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$437	$143	$242	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$146	$147	$272	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$314	$114	$160	0.7×
Total hip replacement CPT Code: `27130`	$134	$134	$13,413	0.0×
Total knee replacement CPT Code: `27447`	$134	$134	$13,523	0.0×
Speech therapy (language evaluation) CPT Code: `92507`	$97	$97	$86	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$37	$99	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$43	$103	$123	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$91	$94	$134	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$47	$112	$166	0.7×
Neurobehavioral status check CPT Code: `96116`	$40	$100	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$206	$462	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$45	$231	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$64	$140	$111	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$28	$141	$140	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$59	$59	$20	3.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$18	$61	$39	1.6×
Orthotic fitting and training CPT Code: `97760`	$33	$77	$51	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$17	$83	$56	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$15	$47	$33	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$36	$42	$35	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$30	$67	$87	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$68	$76	$126	0.6×
Ultrasound, pelvis CPT Code: `76856`	$82	$76	$130	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$86	$75	$132	0.6×
Psychological testing evaluation CPT Code: `96136`	$16	$57	$128	0.4×
X-ray, lower back CPT Code: `72110`	$122	$49	$112	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$66	$66	$3,372	0.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$68	$68	$6,109	0.0×
Hepatitis B vaccine HCPCS Code: `90744`	$15	$77	$37	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$12	$62	$49	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$11	$29	$25	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$30	$33	$34	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$36	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$43	$37	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$30	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$29	$34	$38	0.9×
X-ray, hip CPT Code: `73502`	$64	$40	$93	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$49	$25	$64	0.4×
Family therapy session CPT Code: `90847`	$50	$50	$173	unverified
Prosthetic fitting and training CPT Code: `97761`	$48	$48	$45	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$19	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$22	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$60	$13	$11	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$26	$8	$7	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	$11	$10	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$27	$15	$14	1.1×
X-ray, chest (two views) CPT Code: `71046`	$26	$37	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$65	$36	$92	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$4	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$27	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$39	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$54	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	$48	$10	$9	1.1×
Hepatitis C antibody test CPT Code: `86803`	$29	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$40	$17	$16	1.1×
Blood test, vitamin D CPT Code: `82306`	$54	$30	$31	1.0×
X-ray, hand CPT Code: `73130`	$76	$33	$93	0.4×
X-ray, ankle CPT Code: `73610`	$29	$33	$93	0.4×
Blood test, amylase CPT Code: `82150`	$36	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$17	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$23	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$38	$18	$18	1.0×
Physical therapy (gait training) CPT Code: `97116`	$27	$30	$33	0.9×
Blood test, hemoglobin CPT Code: `85018`	$4	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$28	$18	$19	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$28	$30	$35	0.9×
X-ray, foot CPT Code: `73630`	$40	$32	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$25	$32	$93	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$8	$8	$25	0.3×
X-ray, chest (single view) CPT Code: `71045`	$19	$24	$92	0.3×
Group therapy session CPT Code: `90853`	$14	$26	$100	0.3×
Blood antibody screen CPT Code: `86850`	$27	$10	$46	0.2×
X-ray, pelvis CPT Code: `72170`	$63	$22	$110	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$8	$22	$201	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$15	$14	unverified

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.7%

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

CMS CCN: 050192

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $10,866

Insurer Median $21,353

1. Amount on Your Bill or Quote ($) Pre-filled with Adventist Health Reedley’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: $14,143 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,143

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.7% of gross = $14,143).

Step 2 · Cash vs. Insurance Arbitrage Save $46,324 Paying Cash

Self-Pay Cash Rate ($10,866) Beats Your Bill

Adventist Health Reedley's published 45 CFR § 180 self-pay cash rate is $10,866 (vs. $21,353 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$38,103 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($57,190) is $38,103 above the denoised Fair BaseRate ($19,087) and 4.1× the $14,117 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 (24.7% 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

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait143 min

Left ER Before Seen1%

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 Adventist Health Reedley. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-22·administrative_or_closure
Met Requirements
Recorded
2024-02-29·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (109 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 Quality & Price Benchmark

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

Price Index: 0.77× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Bright Health

+75.2%

Median Household Income$71,434U.S. Census ACS

Local Uninsured Share7.0%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 75/100 · Corroborated CMS CCN 050192

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050192) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-02 · 590.07 MB

Validated Rate Rows7,182 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050192

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