How many shoppable procedure prices are published for Bear Valley Community Hospital?

Bear Valley Community Hospital in Big Bear Lake, CA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 9 Beds · rural Updated: 8/29/2024

Bear Valley Community Hospital

41870 Garstin Dr, Big Bear Lake, CA 92315 · 91 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.94×vs. Fair Market Price

Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 35% of the Time

File Completeness51

Price Logic79

Peer Alignment68

Clean Billing81

Real Cash Discount98

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Bear Valley Community Hospital prices shoppable and inpatient services (0.9× to 0.9× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.94× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#50 of 240 in CA · 20th State Percentile#894 of 3,385 in U.S. · 26th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 6% below peer Fair BaseRate (0.94×)
Self-pay cash beats commercial insurance on 35% of shoppable procedures (98/100 Cash Honesty)
CMS clinical safety score (81/100 safety score) with 83% patient recommendation
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 1.1× markup over Medicare rates
Commercial insurance median sits at 0.88× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 6.6× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.00× Divergence

0.9× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.78× · Q50 0.88× · Q75 0.91×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.1× MedicareGood

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

35% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 81/100Good

Procedure Prices at Bear Valley Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,349	$2,349	$6,109	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,346	$1,346	$3,372	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$810	$1,068	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,659	$849	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$558	$785	$987	0.8×
Inguinal hernia repair CPT Code: `49505`	$796	$796	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$810	$810	$3,875	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,074	$499	$583	0.9×
Blood transfusion CPT Code: `36430`	$816	$393	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,684	$348	$448	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,140	$274	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$532	$222	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,131	$222	$303	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$183	$183	$110	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$147	$147	$123	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,257	$166	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,630	$166	$258	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$120	$120	$87	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$112	$144	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$193	$144	$185	0.8×
Physical therapy (gait training) CPT Code: `97116`	$88	$88	$33	2.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$89	$89	$86	1.0×
X-ray, pelvis CPT Code: `72170`	$230	$100	$110	0.9×
X-ray, lower back CPT Code: `72110`	$596	$100	$112	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$374	$116	$148	0.8×
X-ray, chest (single view) CPT Code: `71045`	$181	$82	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$291	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$219	$82	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$291	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$318	$82	$93	0.9×
X-ray, hand CPT Code: `73130`	$282	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$318	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$291	$82	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$420	$100	$126	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$411	$96	$123	0.8×
Ultrasound, pelvis CPT Code: `76856`	$437	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$334	$100	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$714	$100	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,328	$100	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,063	$100	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,413	$100	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,968	$100	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,026	$100	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,026	$100	$169	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$94	$94	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$113	$113	$201	0.6×
Typhoid vaccine HCPCS Code: `90675`	$693	$322	$347	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$131	$131	$37	3.5×
Pneumococcal vaccine HCPCS Code: `90732`	$128	$128	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$140	$140	$203	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$112	$112	$56	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$78	$14	5.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$66	$66	$35	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$70	$70	$38	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$66	$38	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$67	$39	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$84	$84	$111	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$56	$56	$34	1.6×
Prosthetic fitting and training CPT Code: `97761`	$64	$64	$45	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$53	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	$63	$63	$51	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$46	$40	1.1×
Blood antibody screen CPT Code: `86850`	$44	$49	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$281	$55	$64	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$14	$4	3.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$14	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$5	$5	1.0×
Blood test, lipase CPT Code: `83690`	$56	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$14	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$14	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$35	$14	$15	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$11	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$182	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$118	$10	$11	0.9×
Blood test, vitamin D CPT Code: `82306`	$54	$28	$31	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$9	$10	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$106	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$95	$8	$9	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$23	$16	$18	0.9×
Culture, bacterial CPT Code: `87070`	$104	$8	$9	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$7	$8	0.9×
Blood test, amylase CPT Code: `82150`	$22	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$22	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$18	$2	$3	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$10	$10	$19	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$4	$4	$16	0.3×
Drug screening test HCPCS Code: `G0480`	$15	$15	$116	0.1×

Showing top 25 high-impact procedures of 91 total

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

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

CMS CCN: 051335

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $2,349

Insurer Median $2,349

1. Amount on Your Bill or Quote ($) Pre-filled with Bear Valley Community 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 Save $1,006 Paying Cash

Self-Pay Cash Rate ($2,349) Beats Your Bill

Bear Valley Community Hospital's published 45 CFR § 180 self-pay cash rate is $2,349 (vs. $2,349 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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 Bear Valley Community 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

Safety Composite81/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait143 min

Left ER Before Seen2%

CMS Price Transparency Administrative Enforcement Log

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

2023-08-10·administrative_or_closure
Closure Notice
Recorded
2023-05-10·cap_corrective_action
CAP Request
Recorded
2023-02-06·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (32 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 Bear Valley Community Hospital.

Price Index: 1.13× regional baseline

Quality: 57/100 CMS composite

Median Household Income$82,184U.S. Census ACS

Local Uninsured Share8.5%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 051335

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 051335) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage8/29/2024

Validated Rate Rows744 (CMS v2.0.0)

File Integrity DigestVerified · CCN 051335

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