How many shoppable procedure prices are published for Antelope Valley Hospital?

Antelope Valley Hospital in Lancaster, CA currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Antelope Valley Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Antelope Valley Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Antelope Valley Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 393 Beds · urban Updated: 3/13/2026

Antelope Valley Hospital

1600 W Ave J, Lancaster, CA 93534 · 105 Priced Procedures · 49% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness45

Price Logic94

Peer Alignment74

Clean Billing74

Real Cash Discount6

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Antelope Valley Hospital prices shoppable and inpatient services (1.3× to 1.2× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.11× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#122 of 240 in CA · 50th State Percentile#1,699 of 3,385 in U.S. · 50th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.07× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 49% patient recommendation (47/100 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 2.2× markup over Medicare rates
Commercial insurance median sits at 1.12× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.11× 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.
Unnegotiated chargemaster list prices average 6.6× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.2× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 1.07× · Q50 1.12× · Q75 1.23×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.7× MedicareGood

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

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 47/100Watchout

Procedure Prices at Antelope Valley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$34,331	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,131	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,989	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,985	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$32,334	$16,760	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$26,928	$16,760	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,060	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,317	$7,970	$6,109	1.3×
Inguinal hernia repair CPT Code: `49505`	$11,220	$6,874	$3,629	unverified
Breast lump removal CPT Code: `19120`	$10,200	$5,162	$3,875	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$14,790	$4,355	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	$12,648	$4,355	$3,446	1.3×
Trauma team activation HCPCS Code: `G0390`	$15,000	$1,731	$1,453	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$4,047	$1,593	$1,256	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,029	$1,238	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$5,242	$1,219	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,700	$1,143	$1,021	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$4,539	$931	$855	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,049	$717	$583	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$653	$653	$201	3.2×
Blood transfusion CPT Code: `36430`	$2,800	$587	$498	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$550	$86	6.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,625	$513	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,944	$513	$511	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,670	$327	$272	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,306	$351	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,306	$351	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,306	$351	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,100	$351	$303	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,984	$294	$322	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,050	$258	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,260	$258	$258	1.0×
Ultrasound, pelvis CPT Code: `76856`	$792	$154	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$632	$154	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$792	$154	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$732	$154	$160	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$451	$143	$151	0.9×
CT scan, pelvis CPT Code: `72192`	$840	$154	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$732	$154	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$718	$154	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$840	$154	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$840	$154	$169	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$630	$154	$126	unverified
X-ray, hip CPT Code: `73502`	$528	$116	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$456	$116	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$456	$116	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$528	$116	$93	unverified
X-ray, lower back CPT Code: `72110`	$613	$139	$112	unverified
X-ray, pelvis CPT Code: `72170`	$641	$139	$110	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$448	$96	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$530	$93	$123	0.8×
X-ray, shoulder CPT Code: `73030`	$528	$116	$92	unverified
X-ray, hand CPT Code: `73130`	$651	$116	$93	unverified
X-ray, ankle CPT Code: `73610`	$606	$116	$93	unverified
X-ray, foot CPT Code: `73630`	$606	$116	$92	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$716	$716	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$674	$550	$203	2.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$445	$445	$111	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,666	$336	$347	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$241	$241	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$182	$182	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$178	$178	$37	unverified
Drug screening test HCPCS Code: `G0480`	$189	$132	$116	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$336	$79	$64	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$95	$95	$25	unverified
Flu vaccine injection HCPCS Code: `G0008`	$174	$62	$48	1.3×
Orthotic fitting and training CPT Code: `97760`	$261	$60	$51	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$522	$78	$110	0.7×
Prosthetic fitting and training CPT Code: `97761`	$144	$52	$45	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$258	$45	$40	1.1×
Physical therapy (gait training) CPT Code: `97116`	$137	$37	$33	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$400	$42	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$176	$41	$38	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$145	$41	$38	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$427	$63	$87	0.7×
Blood test, vitamin D CPT Code: `82306`	$193	$34	$31	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$158	$37	$35	1.1×
Blood antibody screen CPT Code: `86850`	$51	$51	$46	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$44	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$49	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$46	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$7	$6	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$161	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$60	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$65	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$54	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$100	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	$53	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$30	$21	$19	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$55	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$80	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$128	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$62	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$126	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$145	$19	$18	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$158	$35	$34	1.0×
Blood test, liver function panel CPT Code: `80076`	$60	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$72	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$45	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$52	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$5	$5	1.0×

Showing top 25 high-impact procedures of 105 total

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

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

CMS CCN: 050056

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $34,331

1. Amount on Your Bill or Quote ($) Pre-filled with Antelope Valley 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 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 Antelope Valley 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 +$51,619 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($82,394) is $51,619 above the denoised Fair BaseRate ($30,775) and 3.5× the $23,504 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 Antelope Valley Hospital 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 Overall1/5 Stars (1/5)

Safety Composite47/100

Would Recommend49%

Rated 9 or 10 (HCAHPS)52%

Median ER Wait266 min

Left ER Before Seen2%

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Antelope Valley Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-07·administrative_or_closure
Met Requirements
Recorded
2024-12-05·administrative_or_closure
Closure Notice
Recorded
2024-11-14·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (341 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 Antelope Valley Hospital.

Price Index: 1.02× regional baseline

Quality: 33/100 CMS composite

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 61/100 · Caution CMS CCN 050056

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

MRF Portal Indexed (mrf) Verify on CMS Medicare.gov (CCN 050056) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/13/2026 · 179.15 MB

Validated Rate Rows2,063 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050056

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