Oroville Hospital
2767 Olive Highway, Oroville, CA 95966 · 108 Priced Procedures · 34% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
1-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Aligned Regional Benchmark Peer
Oroville Hospital prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.02× 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)
- Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
- 1-Star CMS clinical rating with 34% patient recommendation (41/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.02× 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.
- Commercial insurance median sits at 0.99× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.02× 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.
- Consolidated metro market (HHI 5,217) 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 Oroville Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Cataract surgery with lens implant CPT Code: 66984 | $2,837 | 1.1× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,198 | 0.8× |
| Total knee replacement CPT Code: 27447 | $1,887 | 0.1× |
| Trauma team activation HCPCS Code: G0390 | $1,639 | 1.1× |
| Total hip replacement CPT Code: 27130 | $1,420 | 0.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,365 | 0.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,307 | 0.4× |
| C-section delivery (full package) CPT Code: 59510 | $1,200 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,115 | 1.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,056 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $1,066 | 0.3× |
| Inguinal hernia repair CPT Code: 49505 | $933 | 0.3× |
| Breast lump removal CPT Code: 19120 | $897 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $672 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $498 | 0.4× |
| Rabies immune globulin HCPCS Code: 90375 | $464 | 1.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $429 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $429 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $452 | 0.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $293 | 1.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $293 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $293 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $293 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $293 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $216 | 0.9× |
Audit a Bill or Quote at Oroville Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,917
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.8% of gross = $1,917).
Self-Pay Cash Rate ($2,538) Beats Your Bill
Oroville Hospital's published 45 CFR § 180 self-pay cash rate is $2,538 (vs. $2,837 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,540 Fair BaseRate ($2,358 Medicare)
Your bill ($5,076) is $2,536 above the denoised Fair BaseRate ($2,540) and 2.2× the $2,358 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (37.8% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Oroville Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2023-06-08·administrative_or_closure
Closure Notice
Recorded - 2023-04-04·cap_corrective_action
CAP Request
Recorded - 2022-09-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (747 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 Oroville Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.