Mayers Memorial Hospital
43563 Hwy 299 East, Fall River Mills, CA 96028 · 86 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Mayers Memorial Hospital prices shoppable and inpatient services (0.8× to 1.2× Medicare, divergence 1.50×) 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.
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 24% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 82% 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)
- Even at low-cost facilities (0.93× 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.
- Captive ER (1.2×) & laboratory (2.4×) services average 1.50× higher multiples than routine shoppable care (0.8×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 5,627) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Mayers Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $4,827 | 15.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,192 | 2.7× |
| Blood transfusion CPT Code: 36430 | $1,006 | 2.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $735 | 1.3× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $596 | 2.2× |
| X-ray, lower back CPT Code: 72110 | $445 | 4.0× |
| X-ray, ankle CPT Code: 73610 | $313 | 3.4× |
| New patient office visit (30-44 min) CPT Code: 99203 | $329 | 3.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $317 | 2.6× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $331 | 1.8× |
| Screening mammogram (both breasts) CPT Code: 77067 | $331 | unverified |
| X-ray, foot CPT Code: 73630 | $290 | 3.2× |
| X-ray, hand CPT Code: 73130 | $280 | 3.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $285 | 2.2× |
| X-ray, shoulder CPT Code: 73030 | $259 | 2.8× |
| Hospital observation (per hour) HCPCS Code: G0378 | $206 | 2.4× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $216 | 2.3× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $228 | 1.3× |
| X-ray, hip CPT Code: 73502 | $201 | 2.2× |
| X-ray, pelvis CPT Code: 72170 | $212 | 1.9× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $211 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $171 | 1.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $169 | 0.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $182 | 0.1× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $180 | unverified |
Audit a Bill or Quote at Mayers Memorial Hospital (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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Mayers Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $4,827 (vs. $4,827 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 ($4,827) is $4,505 above the denoised Fair BaseRate ($322) and 17.6× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Mayers Memorial 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.
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 Mayers Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-24·administrative_or_closure
Closure Notice
Recorded - 2026-01-22·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (45 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 Mayers Memorial Hospital.
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.