How many shoppable procedure prices are published for Kern Valley Healthcare District?

Kern Valley Healthcare District in Lake Isabella, CA currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kern Valley Healthcare District's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kern Valley Healthcare District's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is Kern Valley Healthcare District's CMS Care Compare overall star rating?

CMS Care Compare assigns Kern Valley Healthcare District an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 24 Beds · urban Updated: 2026-06-11

Kern Valley Healthcare District

6412 Laurel Ave, Lake Isabella, CA 93240 · 90 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.98×vs. Fair Market Price

Typical commercial prices here are +98% above the fair benchmark (1.98×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 51% of the Time

File Completeness100

Price Logic58

Peer Alignment61

Clean Billing85

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.98× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Kern Valley Healthcare District prices routine shoppable procedures near 2.7× Medicare (p50 1.71×) while skewing captive emergency, lab, and upper-quartile codes to 6.6× Medicare (p75 3.80×, +122% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#224 of 240 in CA · 92nd State Percentile#3,063 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.11× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 51% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 58% 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 3.4× markup over Medicare rates
Captive ER (4.5×) & laboratory (3.7×) services average 2.44× higher multiples than routine shoppable care (2.7×)
Upper-quartile procedures (Q75 3.80×) jump +122% above the median procedure ratio (Q50 1.71×)
Unnegotiated chargemaster list prices average 12.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.7× Medicare

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

Back-Door Captive & ER2.44× Divergence

6.6× Medicare

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

Quantile Tail Spread+122% Upper Tail

Q25 1.11× · Q50 1.71× · Q75 3.80×

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

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.4× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.5× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

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

2.7× MedicareFair

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

51% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Kern Valley Healthcare District

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 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`	—	—	$19,087	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	—	$8,223	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,254	$1,254	$448	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,080	$1,080	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$903	$903	$242	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$803	$917	$303	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$798	$798	$167	unverified
CT scan, pelvis CPT Code: `72192`	$798	$798	$163	unverified
CT scan, sinuses CPT Code: `70486`	$725	$725	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$701	$701	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$701	$701	$168	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$623	$623	$6,109	0.1×
Prosthetic fitting and training CPT Code: `97761`	$159	$531	$45	unverified
Blood transfusion CPT Code: `36430`	$116	$469	$498	0.9×
Inguinal hernia repair CPT Code: `49505`	$503	$467	$3,629	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$476	$476	$272	unverified
Breast lump removal CPT Code: `19120`	$409	$388	$3,875	0.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$433	$240	$583	0.4×
Orthotic fitting and training CPT Code: `97760`	$61	$204	$51	4.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$184	$211	$134	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$157	$209	$151	1.4×
Ultrasound, pelvis CPT Code: `76856`	$215	$221	$130	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$182	$182	$93	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$166	$166	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$179	$179	$1,256	0.1×
X-ray, lower back CPT Code: `72110`	$202	$202	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$215	$221	$132	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$53	$176	$14	12.6×
X-ray, hip CPT Code: `73502`	$191	$191	$93	unverified
X-ray, foot CPT Code: `73630`	$157	$157	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$142	$142	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$128	$143	$93	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$142	$162	$126	1.3×
X-ray, ankle CPT Code: `73610`	$136	$136	$93	1.5×
X-ray, hand CPT Code: `73130`	$131	$131	$93	1.4×
X-ray, chest (single view) CPT Code: `71045`	$102	$117	$92	1.3×
X-ray, pelvis CPT Code: `72170`	$126	$126	$110	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$125	$125	$987	0.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$141	$141	$64	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$98	$112	$86	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$136	$136	$38	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$84	$84	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$101	$90	$123	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$90	$90	$38	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$101	$175	$140	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$158	$158	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$174	$174	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$115	$114	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$137	$137	$9	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$89	$124	$4	unverified
Physical therapy (gait training) CPT Code: `97116`	$61	$68	$33	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$61	$70	$34	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$70	$38	1.8×
Blood antibody screen CPT Code: `86850`	$80	$80	$46	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$26	$83	$56	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$110	$94	$203	0.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$89	$89	$19	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$14	$55	$39	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$157	$74	$111	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$37	$42	$40	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$55	$59	$201	0.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$29	$18	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$42	$35	1.2×
Blood test, potassium CPT Code: `84132`	$51	$51	$5	unverified
Blood test, sodium CPT Code: `84295`	$38	$38	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$45	$45	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$13	$6	2.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$10	$36	$25	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$11	$43	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$11	$43	$49	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$17	$62	$86	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$68	$60	$87	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$93	$80	$3	unverified
Blood test, vitamin B12 CPT Code: `82607`	$65	$44	$16	unverified
Drug screening test HCPCS Code: `G0480`	$134	$51	$116	unverified
Blood test, calcium CPT Code: `82310`	$34	$15	$5	3.0×
Culture, bacterial CPT Code: `87070`	$38	$10	$9	1.1×
Blood test, vitamin D CPT Code: `82306`	$34	$8	$31	0.3×
Blood test, amylase CPT Code: `82150`	$98	$13	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$22	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$1	$4	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$52	$28	$10	unverified
Blood test, lipase CPT Code: `83690`	$47	$13	$7	unverified
Blood test, magnesium CPT Code: `83735`	$54	$5	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$18	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$24	$25	$3	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$8	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$1	$4	$15	unverified
Culture, blood CPT Code: `87040`	$151	$21	$11	unverified

Showing top 25 high-impact procedures of 90 total

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

Audit a Bill or Quote at Kern Valley Healthcare District (Zero PHI Required)

CMS CCN: 051314

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $21,950

1. Amount on Your Bill or Quote ($) Pre-filled with Kern Valley Healthcare District’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 Kern Valley Healthcare District'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 +$32,109 Above Fair BaseRate

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

Your bill ($51,196) is $32,109 above the denoised Fair BaseRate ($19,087) and 3.6× 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 Kern Valley 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.

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 Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)55%

Median ER Wait170 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (30 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kern Valley Healthcare District.

Price Index: 0.95× regional baseline

Quality: 51/100 CMS composite

Median Household Income$67,660U.S. Census ACS

Local Uninsured Share7.8%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 051314

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 051314) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-11 · 29.49 MB

Validated Rate Rows1,198 (CMS v3.0.0)

File Integrity Digest746b481461aed3a81fd1…

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