How many shoppable procedure prices are published for Coalinga Regional Medical Center?

Coalinga Regional Medical Center in Coalinga, CA currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Coalinga Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Coalinga Regional Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 22 Beds · rural Updated: 2026-09-21

Coalinga Regional Medical Center

1191 Phelps Avenue, Coalinga, CA 93210 · 99 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness55

Price Logic88

Peer Alignment70

Clean Billing91

Real Cash Discount100

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

Coalinga Regional Medical Center prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#68 of 240 in CA · 27th State Percentile#1,222 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.58× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% 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 1.3× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.99× 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.
Consolidated metro market (HHI 3,609) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.58× · Q50 1.03× · Q75 1.15×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

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

0.8× MedicareGood

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

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Coalinga Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 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`	$22,527	$22,527	$19,087	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,143	$3,143	$8,223	0.4×
Blood transfusion CPT Code: `36430`	$362	$603	$498	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,476	$594	$511	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,081	$560	$369	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,968	$499	$1,021	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,562	$439	$343	1.3×
Inguinal hernia repair CPT Code: `49505`	$273	$455	$3,629	0.1×
Rabies immune globulin HCPCS Code: `90375`	$3,716	$396	$322	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,694	$390	$338	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,776	$404	$448	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$794	$344	$583	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,971	$295	$981	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$131	$218	$86	2.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,564	$239	$169	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,849	$233	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,234	$232	$168	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,446	$248	$258	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,246	$241	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,357	$257	$303	0.8×
CT scan, sinuses CPT Code: `70486`	$1,418	$209	$166	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,418	$217	$242	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$3,971	$234	$987	0.2×
Screening mammogram (both breasts) CPT Code: `77067`	$170	$180	$123	1.5×
CT scan, pelvis CPT Code: `72192`	$2,234	$205	$163	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,418	$166	$160	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$134	$184	$185	1.0×
Orthotic fitting and training CPT Code: `97760`	$176	$176	$51	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$872	$119	$134	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$185	$141	$181	0.8×
Family therapy session CPT Code: `90847`	$107	$129	$173	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$109	$81	$86	0.9×
Ultrasound, pelvis CPT Code: `76856`	$862	$97	$130	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$166	$82	$110	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$631	$87	$126	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$460	$86	$132	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$130	$96	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	$474	$463	$347	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$213	$355	$111	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$125	$209	$140	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$112	$187	$56	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$79	$131	$203	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$131	$131	$20	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$38	$63	$14	4.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$37	$62	$25	2.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$71	$39	1.8×
Drug screening test HCPCS Code: `G0480`	$229	$92	$116	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$74	$38	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$99	$41	$25	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$26	$43	$37	1.2×
X-ray, hip CPT Code: `73502`	$478	$53	$93	0.6×
X-ray, lower back CPT Code: `72110`	$691	$63	$112	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$160	$54	$123	0.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$192	$16	$14	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$81	$11	$10	1.1×
Blood test, vitamin D CPT Code: `82306`	$109	$34	$31	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$112	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$166	$17	$16	1.1×
X-ray, chest (two views) CPT Code: `71046`	$347	$39	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$184	$12	$11	1.1×
X-ray, shoulder CPT Code: `73030`	$512	$37	$92	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$490	$37	$93	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$133	$34	$87	0.4×
X-ray, hand CPT Code: `73130`	$490	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$490	$36	$93	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$58	$58	$201	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$69	$5	$4	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$55	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$107	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$109	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$121	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	$75	$10	$9	1.1×
Speech therapy (group session) CPT Code: `92508`	$112	$30	$27	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$86	$21	$19	1.1×
Culture, blood CPT Code: `87040`	$63	$12	$11	1.1×
Hepatitis C antibody test CPT Code: `86803`	$55	$16	$15	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$185	$19	$18	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$91	$32	$34	0.9×
X-ray, foot CPT Code: `73630`	$478	$35	$92	0.4×
Blood test, calcium CPT Code: `82310`	$52	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$69	$6	$5	1.2×
Blood test, lipase CPT Code: `83690`	$98	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$118	$9	$9	1.0×
X-ray, pelvis CPT Code: `72170`	$446	$31	$110	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$83	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$69	$5	$4	1.3×
Blood test, amylase CPT Code: `82150`	$66	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$69	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$69	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$26	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$5	$5	1.0×
Physical therapy (gait training) CPT Code: `97116`	$106	$16	$33	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$81	$18	$38	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$114	$16	$35	0.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$79	$16	$40	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$199	$24	$64	0.4×
X-ray, chest (single view) CPT Code: `71045`	$161	$25	$92	0.3×
Bunion correction surgery CPT Code: `28296`	$32	$32	$3,446	unverified
Blood antibody screen CPT Code: `86850`	$51	$4	$46	0.1×

Showing top 25 high-impact procedures of 99 total

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

Audit a Bill or Quote at Coalinga Regional Medical Center (Zero PHI Required)

CMS CCN: 051338

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $22,527

Insurer Median $22,527

1. Amount on Your Bill or Quote ($) Pre-filled with Coalinga Regional 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 Save $15,019 Paying Cash

Self-Pay Cash Rate ($22,527) Beats Your Bill

Coalinga Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $22,527 (vs. $22,527 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,459 Above Fair BaseRate

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

Your bill ($37,546) is $18,459 above the denoised Fair BaseRate ($19,087) and 2.7× 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 Coalinga Regional 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 Price Transparency Administrative Enforcement Log

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

2024-02-29·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. 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 Coalinga Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

+87.7%

Aetna

+122.2%

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 80/100 · Corroborated CMS CCN 051338

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 051338) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-21 · 11.48 MB

Validated Rate Rows1,295 (CMS v3.0.0)

File Integrity DigestVerified · CCN 051338

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