John C Fremont Healthcare District
5189 Hospital Road, Mariposa, CA 95338 · 77 Priced Procedures · 53% Patient Recommendation
Typical commercial prices here are +63% above the fair benchmark (1.63×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
John C Fremont Healthcare District prices routine shoppable procedures at 1.9× Medicare (median 1.55× Fair BaseRate) while upper-quartile commercial rates jump +32% to 2.04× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.10× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 85% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (65/100 safety score) with 53% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 1.55× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.04×) jump +32% above the median procedure ratio (Q50 1.55×)
- Unnegotiated chargemaster list prices average 4.0× Medicare (32¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at John C Fremont Healthcare District
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 77 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $2,521 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,576 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,440 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,411 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,228 | 2.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,181 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,130 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,059 | 1.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $733 | 2.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $663 | 2.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $653 | 1.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $603 | 3.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $613 | 2.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $594 | 2.2× |
| Blood transfusion CPT Code: 36430 | $531 | 1.1× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $388 | 2.1× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $369 | 2.0× |
| CT scan, sinuses CPT Code: 70486 | $367 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $367 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $367 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $367 | unverified |
| CT scan, pelvis CPT Code: 72192 | $367 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $286 | 2.3× |
| Ultrasound, pelvis CPT Code: 76856 | $279 | 2.1× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $278 | 2.1× |
Audit a Bill or Quote at John C Fremont Healthcare District (Zero PHI Required)
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.
Self-Pay Cash Rate ($2,521) Beats Your Bill
John C Fremont Healthcare District's published 45 CFR § 180 self-pay cash rate is $2,521 (vs. $2,521 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($5,041) is $4,719 above the denoised Fair BaseRate ($322) and 18.3× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify John C Fremont Healthcare District 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.
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 John C Fremont Healthcare District. Prior administrative notices do not necessarily reflect current compliance status.
- 2023-08-16·administrative_or_closure
Closure Notice
Recorded - 2023-04-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (28 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for John C Fremont Healthcare District.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.