How many shoppable procedure prices are published for Barton Memorial Hospital?

Barton Memorial Hospital in South Lake Tahoe, CA currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Barton Memorial Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Barton Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Barton Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 63 Beds · urban Updated: 3/10/2026

Barton Memorial Hospital

2170 South Avenue, South Lake Tahoe, CA 96150 · 109 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness61

Price Logic97

Peer Alignment64

Clean Billing66

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.93× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Barton Memorial Hospital prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#40 of 240 in CA · 16th State Percentile#828 of 3,385 in U.S. · 24th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 75% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.1% AGB cap)

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 1.04× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.25×) jump +20% above the median procedure ratio (Q50 1.04×)
Unnegotiated chargemaster list prices average 17.1× Medicare (19¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 0.97× · Q50 1.04× · Q75 1.25×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.9× MedicareWatchout

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

0.8× MedicareGood

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

1% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Barton Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 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`	—	$40,686	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,465	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,294	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,204	$17,936	1.2×
Total hip replacement CPT Code: `27130`	$107,548	$17,658	$13,413	1.3×
Total knee replacement CPT Code: `27447`	$83,503	$17,658	$13,523	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,405	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$38,140	$8,315	$6,109	1.4×
Inguinal hernia repair CPT Code: `49505`	$10,282	$6,533	$3,629	1.8×
Breast lump removal CPT Code: `19120`	$12,517	$5,385	$3,875	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$27,672	$4,500	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	$5,712	$4,500	$3,446	1.3×
Trauma team activation HCPCS Code: `G0390`	$8,347	$1,842	$1,453	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,355	$1,355	$86	15.8×
Colonoscopy with biopsy CPT Code: `45380`	$4,234	$1,209	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$6,936	$1,181	$1,021	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$3,327	$971	$855	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,331	$940	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$4,043	$917	$987	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,276	$752	$583	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$585	$585	$201	2.9×
Blood transfusion CPT Code: `36430`	$2,149	$607	$498	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,907	$480	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,655	$480	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,407	$328	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,510	$328	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$4,201	$328	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$4,201	$328	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$4,201	$328	$369	0.9×
Rabies immune globulin HCPCS Code: `90375`	$13,669	$298	$322	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$5,036	$241	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,773	$241	$258	0.9×
X-ray, pelvis CPT Code: `72170`	$810	$144	$110	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$909	$147	$151	1.0×
X-ray, chest (single view) CPT Code: `71045`	$790	$120	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$844	$120	$92	1.3×
X-ray, foot CPT Code: `73630`	$844	$120	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$804	$120	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$818	$120	$93	1.3×
X-ray, hand CPT Code: `73130`	$844	$120	$93	1.3×
X-ray, hip CPT Code: `73502`	$837	$120	$93	1.3×
X-ray, ankle CPT Code: `73610`	$791	$120	$93	1.3×
X-ray, lower back CPT Code: `72110`	$1,131	$144	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,546	$144	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$2,258	$144	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,394	$144	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,258	$144	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$3,822	$144	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$3,822	$144	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$3,822	$144	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$3,822	$144	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,822	$144	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,822	$144	$169	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$459	$81	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$323	$88	$86	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$476	$93	$123	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$431	$431	$140	3.1×
Typhoid vaccine HCPCS Code: `90675`	$1,889	$341	$347	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$233	$233	$56	4.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$181	$181	$39	4.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$129	$129	$25	5.2×
Hepatitis B vaccine HCPCS Code: `90744`	$137	$137	$37	3.7×
Orthotic fitting and training CPT Code: `97760`	$187	$55	$51	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$421	$78	$110	0.7×
Community mental health services HCPCS Code: `H0038`	$52	$52	$16	3.3×
Prosthetic fitting and training CPT Code: `97761`	$222	$48	$45	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$412	$63	$87	0.7×
Blood antibody screen CPT Code: `86850`	$225	$72	$46	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$223	$15	$14	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$154	$15	$14	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$28	$20	$19	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$472	$40	$38	1.1×
Blood test, vitamin D CPT Code: `82306`	$218	$32	$31	1.0×
Physical therapy (gait training) CPT Code: `97116`	$296	$34	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$462	$41	$40	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$730	$52	$148	unverified
Flu vaccine injection HCPCS Code: `G0008`	$203	$64	$48	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$214	$21	$20	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$272	$14	$14	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$214	$16	$16	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$629	$39	$123	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$321	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$424	$11	$11	1.0×
Blood test, liver function panel CPT Code: `80076`	$301	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$111	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$259	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$109	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$110	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$94	$10	$10	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$295	$34	$35	1.0×
Blood test, lipase CPT Code: `83690`	$300	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$233	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$128	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$113	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$275	$18	$18	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$377	$38	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$251	$38	$38	1.0×
Drug screening test HCPCS Code: `G0480`	$43	$43	$116	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$208	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$38	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$272	$8	$8	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$440	$32	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$118	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$144	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$128	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$418	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$301	$9	$9	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$127	$31	$35	0.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$141	$5	$5	1.0×

Showing top 25 high-impact procedures of 109 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.1%

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

CMS CCN: 050352

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $40,686

1. Amount on Your Bill or Quote ($) Pre-filled with Barton Memorial 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: $50,903 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $50,903

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.1% of gross = $50,903).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Barton Memorial 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 +$66,871 Above Fair BaseRate

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

Your bill ($97,646) is $66,871 above the denoised Fair BaseRate ($30,775) and 4.2× 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) 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 (52.1% 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 Composite73/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait134 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 Barton Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (324 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 Barton Memorial Hospital.

Price Index: 0.42× regional baseline

Quality: 70/100 CMS composite

Median Household Income$106,190U.S. Census ACS

Local Uninsured Share4.0%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 78/100 · Corroborated CMS CCN 050352

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050352) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/10/2026

Validated Rate Rows212 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050352

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