How many shoppable procedure prices are published for Oak Valley Hospital District?

Oak Valley Hospital District in Oakdale, CA currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Oak Valley Hospital District's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Oak Valley Hospital District's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Oak Valley Hospital District's CMS Care Compare overall star rating?

CMS Care Compare assigns Oak Valley Hospital District an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 35 Beds · urban Updated: 2026-05-27

Oak Valley Hospital District

350 S Oak Ave, Oakdale, CA 95361 · 96 Priced Procedures

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness51

Price Logic67

Peer Alignment61

Clean Billing73

Real Cash Discount93

High-Markup Tier

1-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Oak Valley Hospital District prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#69 of 240 in CA · 28th State Percentile#1,266 of 3,385 in U.S. · 37th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (93/100 Cash Honesty)
1-Star CMS clinical rating with 72% patient recommendation (69/100 safety score)
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 1.5× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,999) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 0.91× · Q50 0.98× · Q75 1.08×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

1.4× MedicareGood

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

29% Cash Edge · 93/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 69/100Fair

Procedure Prices at Oak Valley Hospital District

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 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`	$44,112	$18,577	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$71,971	$18,447	$19,432	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$26,101	$7,456	$8,223	0.9×
Blood transfusion CPT Code: `36430`	$3,203	$3,203	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,484	$1,104	$1,021	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$949	$703	$583	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,655	$449	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,962	$458	$511	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$336	$449	$86	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,303	$307	$272	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,661	$313	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,661	$313	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$990	$313	$369	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,094	$307	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,971	$226	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,244	$230	$258	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$195	$228	$185	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$821	$171	$148	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$152	$138	$123	1.1×
X-ray, chest (single view) CPT Code: `71045`	$637	$112	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$1,009	$112	$92	1.2×
X-ray, foot CPT Code: `73630`	$1,068	$112	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$782	$112	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$807	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	$1,009	$112	$93	1.2×
X-ray, hip CPT Code: `73502`	$709	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$1,009	$112	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,656	$134	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$1,656	$134	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,315	$134	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,656	$134	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$435	$140	$151	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,324	$137	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$2,738	$137	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,242	$137	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$3,178	$137	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,462	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,831	$137	$169	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$146	$146	$201	0.7×
X-ray, lower back CPT Code: `72110`	$1,672	$134	$112	unverified
X-ray, pelvis CPT Code: `72170`	$740	$134	$110	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$158	$158	$166	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$254	$81	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$201	$85	$123	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$103	$103	$181	unverified
Typhoid vaccine HCPCS Code: `90675`	$880	$347	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$123	$123	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$125	$125	$203	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$83	$61	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$104	$76	$64	1.2×
Orthotic fitting and training CPT Code: `97760`	$134	$54	$51	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$174	$75	$110	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$74	$74	$56	unverified
Prosthetic fitting and training CPT Code: `97761`	$119	$47	$45	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$137	$37	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$119	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$117	$34	$38	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$58	$87	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$42	$42	$111	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$164	$7	$6	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$716	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$819	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$410	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$123	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$221	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$207	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$207	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$115	$14	$14	1.0×
Blood test, lipase CPT Code: `83690`	$207	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$117	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$181	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$387	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$107	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$207	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$207	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$207	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$257	$8	$8	1.0×
Culture, blood CPT Code: `87040`	$360	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$405	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$78	$14	$14	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$227	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$117	$15	$16	0.9×
Physical therapy (gait training) CPT Code: `97116`	$137	$30	$33	0.9×
Blood test, liver function panel CPT Code: `80076`	$592	$8	$9	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$137	$30	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$145	$30	$35	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$261	$4	$5	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$29	$49	0.6×
Blood test, hemoglobin CPT Code: `85018`	$17	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$26	$26	$39	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$7	$7	$19	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$17	$17	$48	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$13	$13	$37	0.4×
Hepatitis C antibody test CPT Code: `86803`	$4	$4	$15	0.3×
Blood antibody screen CPT Code: `86850`	$261	$10	$46	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$7	$7	$25	unverified

Showing top 25 high-impact procedures of 96 total

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

Audit a Bill or Quote at Oak Valley Hospital District (Zero PHI Required)

CMS CCN: 050067

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $44,112

Insurer Median $18,577

1. Amount on Your Bill or Quote ($) Pre-filled with Oak Valley Hospital 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 Save $14,704 Paying Cash

Self-Pay Cash Rate ($44,112) Beats Your Bill

Oak Valley Hospital District's published 45 CFR § 180 self-pay cash rate is $44,112 (vs. $18,577 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$39,729 Above Fair BaseRate

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

Your bill ($58,816) is $39,729 above the denoised Fair BaseRate ($19,087) and 4.2× 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 Oak Valley Hospital 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 Overall1/5 Stars (1/5)

Safety Composite69/100

Median ER Wait130 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2026-01-14·administrative_or_closure
Met Requirements
Recorded
2024-06-13·administrative_or_closure
Closure Notice
Recorded
2024-03-07·warning_notice
Warning Notice
Recorded
2023-03-22·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

Above-Benchmark Price Tier

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

Price Index: 2.17× regional baseline

Quality: 33/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-70.5%

Median Household Income$79,661U.S. Census ACS

Local Uninsured Share6.0%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 68/100 · Caution CMS CCN 050067

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 050067) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-05-27

Validated Rate Rows2,474 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050067

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