How many shoppable procedure prices are published for Orchard Hospital?

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

How do Orchard Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Orchard Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 24 Beds · rural Updated: 2026-09-26

Orchard Hospital

240 Spruce Street, Gridley, CA 95948 · 96 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness85

Price Logic61

Peer Alignment65

Clean Billing82

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Orchard Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.77× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.03× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#11 of 240 in CA · 4th State Percentile#267 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.80× 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 (1.4×) & laboratory (1.0×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.03×) jump +34% above the median procedure ratio (Q50 0.77×)
Consolidated metro market (HHI 5,217) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.47× · Q50 0.77× · Q75 1.03×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.7× MedicareGood

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

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Orchard Hospital

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`	$28,571	$28,571	$19,087	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,850	$6,850	$8,223	0.8×
Inguinal hernia repair CPT Code: `49505`	$1,292	$1,292	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,218	$1,218	$6,109	0.2×
Blood transfusion CPT Code: `36430`	$596	$596	$498	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,132	$408	$322	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,180	$346	$448	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,315	$318	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,315	$291	$338	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$215	$313	$511	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,529	$210	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$952	$218	$303	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,082	$182	$167	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$959	$184	$169	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$959	$180	$168	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$123	$204	$369	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$112	$156	$86	1.8×
CT scan, pelvis CPT Code: `72192`	$974	$168	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$1,023	$168	$166	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$177	$177	$201	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,069	$182	$242	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$671	$145	$181	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$360	$164	$272	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$960	$135	$160	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$912	$159	$583	0.3×
Family therapy session CPT Code: `90847`	$378	$132	$173	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$148	$85	$86	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$160	$85	$110	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$497	$84	$134	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$184	$88	$148	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$341	$94	$166	0.6×
Prosthetic fitting and training CPT Code: `97761`	$89	$89	$45	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$765	$765	$203	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$239	$239	$37	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$125	$125	$140	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$64	$64	$38	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$82	$82	$111	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$107	$77	$123	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$91	$91	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$79	$79	$56	unverified
Orthotic fitting and training CPT Code: `97760`	$72	$72	$51	unverified
Flu vaccine injection HCPCS Code: `G0008`	$87	$87	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$87	$87	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$100	$48	$35	1.4×
Ultrasound, pelvis CPT Code: `76856`	$328	$68	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$54	$61	$126	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$72	$60	$132	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$56	$5	$4	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$53	$7	$6	1.2×
Speech therapy (group session) CPT Code: `92508`	$157	$31	$27	1.1×
Blood test, magnesium CPT Code: `83735`	$90	$8	$7	1.1×
Culture, bacterial CPT Code: `87070`	$8	$10	$9	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$95	$33	$34	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$153	$55	$123	0.4×
Blood test, vitamin D CPT Code: `82306`	$72	$27	$31	0.9×
X-ray, hip CPT Code: `73502`	$31	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$282	$44	$112	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$60	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$52	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$51	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$84	$8	$7	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$91	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$100	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$102	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$28	$11	$10	1.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$5	$5	1.0×
Blood test, potassium CPT Code: `84132`	$96	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$57	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$19	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$77	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$6	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$43	$8	$9	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$12	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$80	$9	$11	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$6	$8	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$121	$13	$18	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$7	$11	$16	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$8	$13	$19	0.7×
Hepatitis C antibody test CPT Code: `86803`	$16	$9	$15	0.6×
Physical therapy (gait training) CPT Code: `97116`	$76	$17	$33	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$17	$35	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$117	$18	$38	0.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$58	$17	$38	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$17	$40	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$137	$35	$87	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$150	$24	$64	0.4×
X-ray, chest (two views) CPT Code: `71046`	$171	$34	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$179	$26	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$116	$26	$93	0.3×
X-ray, hand CPT Code: `73130`	$185	$25	$93	0.3×
X-ray, ankle CPT Code: `73610`	$132	$25	$93	0.3×
X-ray, foot CPT Code: `73630`	$176	$24	$92	0.3×
Group therapy session CPT Code: `90853`	$902	$25	$100	0.3×
X-ray, chest (single view) CPT Code: `71045`	$90	$22	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$106	$22	$110	0.2×
Blood antibody screen CPT Code: `86850`	$64	$4	$46	0.1×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.2%

Audit a Bill or Quote at Orchard Hospital (Zero PHI Required)

CMS CCN: 051311

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $28,571

Insurer Median $28,571

1. Amount on Your Bill or Quote ($) Pre-filled with Orchard Hospital’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 501(r) AGB Cap: $14,871 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,871

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.2% of gross = $14,871).

Step 2 · Cash vs. Insurance Arbitrage Save $19,047 Paying Cash

Self-Pay Cash Rate ($28,571) Beats Your Bill

Orchard Hospital's published 45 CFR § 180 self-pay cash rate is $28,571 (vs. $28,571 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$28,531 Above Fair BaseRate

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

Your bill ($47,618) is $28,531 above the denoised Fair BaseRate ($19,087) and 3.4× 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 941049467

Filing Period: 195602

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (31.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite69/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait174 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-03-07·administrative_or_closure
Met Requirements
Recorded
2023-06-08·administrative_or_closure
Closure Notice
Recorded
2023-05-10·cap_corrective_action
CAP Request
Recorded
2023-01-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (33 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.15× regional baseline

Quality: 53/100 CMS composite

Median Household Income$68,574U.S. Census ACS

Local Uninsured Share6.4%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 77/100 · Corroborated CMS CCN 051311 EIN 941049467

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 051311) ↗ Verify IRS Form 990 (EIN 941049467) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-26 · 7.15 MB

Validated Rate Rows1,207 (CMS v3.0.0)

File Integrity Digest6e7cbb59ad062ee5c881…

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