How many shoppable procedure prices are published for Alhambra Hospital Medical Center?

Alhambra Hospital Medical Center in Alhambra, CA currently has 84 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Alhambra Hospital Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Alhambra Hospital Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Alhambra Hospital Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Alhambra Hospital Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 101 Beds · urban Updated: 2026-03-26

Alhambra Hospital Medical Center

100 S Raymond Ave, Alhambra, CA 91801 · 84 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness100

Price Logic86

Peer Alignment79

Clean Billing85

Real Cash Discount6

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Alhambra Hospital Medical Center prices shoppable and inpatient services (1.7× to 1.3× Medicare, divergence 0.76×) in alignment with regional hospital peers (1.19× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#142 of 240 in CA · 58th State Percentile#1,963 of 3,385 in U.S. · 57th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 9% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (67/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.15× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.42×) jump +23% above the median procedure ratio (Q50 1.15×)
Unnegotiated chargemaster list prices average 18.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER0.76× Divergence

1.3× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 1.04× · Q50 1.15× · Q75 1.42×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

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

0.7× MedicareGood

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

9% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 67/100Fair

Procedure Prices at Alhambra Hospital Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 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`	—	$21,516	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,368	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,561	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,852	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,776	$6,109	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$6,326	$3,629	1.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$5,830	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$5,783	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$5,786	$981	unverified
Blood transfusion CPT Code: `36430`	$1,493	$851	$498	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,542	$764	$583	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,307	$449	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,682	$472	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,506	$428	$272	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$7,440	$376	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$7,440	$376	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$5,621	$376	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,765	$317	$303	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$412	$277	$201	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$4,087	$277	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,356	$278	$258	1.1×
X-ray, lower back CPT Code: `72110`	$1,175	$164	$112	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,461	$178	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$1,205	$178	$130	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,505	$164	$134	1.2×
CT scan, sinuses CPT Code: `70486`	$3,544	$178	$166	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$3,499	$166	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$3,883	$165	$163	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$3,883	$165	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,289	$165	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,289	$165	$169	1.0×
X-ray, pelvis CPT Code: `72170`	$686	$164	$110	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,486	$178	$132	unverified
X-ray, shoulder CPT Code: `73030`	$597	$132	$92	1.4×
X-ray, foot CPT Code: `73630`	$587	$132	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$690	$132	$93	1.4×
X-ray, hand CPT Code: `73130`	$549	$132	$93	1.4×
X-ray, chest (single view) CPT Code: `71045`	$686	$116	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$892	$138	$93	unverified
X-ray, hip CPT Code: `73502`	$645	$138	$93	unverified
X-ray, ankle CPT Code: `73610`	$757	$138	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$412	$92	$64	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$217	$90	$86	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$682	$84	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,702	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$597	$230	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$356	$85	$56	1.5×
Drug screening test HCPCS Code: `G0480`	$109	$109	$116	0.9×
Blood antibody screen CPT Code: `86850`	$261	$67	$46	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$59	$49	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$195	$44	$38	1.2×
Orthotic fitting and training CPT Code: `97760`	$197	$52	$51	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$220	$40	$40	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$287	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$227	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$221	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$165	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$210	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$221	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$206	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$592	$13	$11	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$258	$16	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$412	$16	$14	1.1×
Blood test, magnesium CPT Code: `83735`	$98	$8	$7	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$412	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$294	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$455	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$634	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$412	$20	$18	1.1×
Culture, blood CPT Code: `87040`	$515	$12	$11	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$216	$20	$19	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$190	$36	$38	0.9×
Culture, bacterial CPT Code: `87070`	$77	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$227	$33	$33	1.0×
Blood test, vitamin D CPT Code: `82306`	$161	$29	$31	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$224	$32	$35	0.9×
Blood test, hemoglobin CPT Code: `85018`	$110	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$206	$5	$5	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$227	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$192	$9	$10	0.9×
Hepatitis C antibody test CPT Code: `86803`	$9	$9	$15	0.6×
Blood test, amylase CPT Code: `82150`	$131	$12	$7	unverified
Blood test, lipase CPT Code: `83690`	$56	$10	$7	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$165	$9	$6	unverified

Showing top 25 high-impact procedures of 84 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Alhambra Hospital Medical Center (Zero PHI Required)

CMS CCN: 050281

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $21,516

1. Amount on Your Bill or Quote ($) Pre-filled with Alhambra Hospital Medical Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Alhambra Hospital Medical Center'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 +$32,551 Above Fair BaseRate

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

Your bill ($51,638) is $32,551 above the denoised Fair BaseRate ($19,087) and 3.7× 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Alhambra Hospital Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite67/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait142 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (429 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 Alhambra Hospital Medical Center.

Price Index: 1.09× regional baseline

Quality: 61/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-71.3%

Health Net

-47.2%

Aetna

-44.6%

Kaiser Permanente

+110.6%

Median Household Income$87,760U.S. Census ACS

Local Uninsured Share8.7%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 74/100 · Corroborated CMS CCN 050281

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050281) ↗ CMS HCRIS Cost Reports ↗

Published MRF FilePricingTransparency-Alhambra_Hosptial_Medical_Center_-_MediTech-3323-20260326202955.csv

Publication / Vintage2026-03-26 · 124.70 MB

Validated Rate Rows5,846 (CMS v3.0.0)

File Integrity Digest7548a393036548f98b6e…

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