How many shoppable procedure prices are published for Pacifica Hospital of the Valley?

Pacifica Hospital of the Valley in Sun Valley, CA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Pacifica Hospital of the Valley's commercial prices compare to the fair BaseRate?

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

Hospital Profile Acute Care Hospital Proprietary 133 Beds · urban Updated: 2025-11-19

Pacifica Hospital of the Valley

9449 San Fernando Rd, Sun Valley, CA 91352 · 91 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness45

Price Logic87

Peer Alignment72

Clean Billing67

Real Cash Discount6

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Pacifica Hospital of the Valley prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#76 of 240 in CA · 31st State Percentile#1,315 of 3,385 in U.S. · 38th 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 5% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 72% 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 1.5× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.18×) jump +18% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 9.5× Medicare (15¢ true HCRIS cost per $1 gross)

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+18% Upper Tail

Q25 0.91× · Q50 1.00× · Q75 1.18×

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

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.4× MedicareGood

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

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Pacifica Hospital of the Valley

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$25,236	$7,738	$6,109	1.3×
Total knee replacement CPT Code: `27447`	$7,087	$7,087	$13,523	0.5×
Total hip replacement CPT Code: `27130`	$5,646	$5,646	$13,413	0.4×
Breast lump removal CPT Code: `19120`	$15,293	$5,011	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$18,765	$4,583	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$18,342	$4,188	$3,372	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$27,945	$2,954	$2,540	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,532	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$5,873	$1,190	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$8,190	$1,161	$987	1.2×
Blood transfusion CPT Code: `36430`	$1,008	$565	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,379	$447	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,390	$447	$511	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$405	$405	$86	4.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,189	$305	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,378	$305	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,714	$305	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,714	$305	$343	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,885	$281	$322	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,764	$305	$369	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$312	$227	$166	1.4×
Family therapy session CPT Code: `90847`	$316	$227	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$462	$227	$181	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$232	$232	$201	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,375	$224	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,979	$224	$258	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$502	$181	$185	1.0×
Group therapy session CPT Code: `90853`	$278	$130	$100	1.3×
X-ray, pelvis CPT Code: `72170`	$433	$134	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$260	$111	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$487	$111	$92	1.2×
X-ray, foot CPT Code: `73630`	$273	$111	$92	1.2×
X-ray, lower back CPT Code: `72110`	$876	$134	$112	1.2×
X-ray, chest (two views) CPT Code: `71046`	$288	$111	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$680	$111	$93	1.2×
X-ray, hand CPT Code: `73130`	$147	$111	$93	1.2×
X-ray, hip CPT Code: `73502`	$433	$111	$93	1.2×
X-ray, ankle CPT Code: `73610`	$234	$111	$93	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$329	$129	$110	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$873	$134	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$944	$134	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$801	$134	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,147	$134	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,289	$137	$151	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,235	$134	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,413	$134	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,854	$134	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,590	$134	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,010	$134	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,635	$134	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$107	$84	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$853	$332	$347	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$148	$148	$56	2.6×
Pneumococcal vaccine HCPCS Code: `90732`	$117	$117	$140	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$183	$76	$64	1.2×
Orthotic fitting and training CPT Code: `97760`	$86	$52	$51	1.0×
Psychological testing evaluation CPT Code: `96136`	$75	$75	$128	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$132	$39	$40	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$301	$11	$11	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$76	$36	$38	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$83	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$75	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$106	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$61	$14	$14	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$168	$36	$38	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$101	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$117	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$68	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$141	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$79	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$73	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$46	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$53	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$83	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$89	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$152	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$140	$32	$33	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$37	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$94	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$143	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$76	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$162	$13	$14	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$140	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$168	$31	$34	0.9×
Culture, blood CPT Code: `87040`	$168	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$183	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$248	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$66	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$89	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$63	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$80	$10	$46	0.2×

Showing top 25 high-impact procedures of 91 total

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

Audit a Bill or Quote at Pacifica Hospital of the Valley (Zero PHI Required)

CMS CCN: 050378

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $25,236

Insurer Median $7,738

1. Amount on Your Bill or Quote ($) Pre-filled with Pacifica Hospital of the Valley’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 Published Cash: $25,236

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Pacifica Hospital of the Valley's published 45 CFR § 180 self-pay cash rate is $25,236 (vs. $7,738 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$19,127 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($25,236) is $19,127 above the denoised Fair BaseRate ($6,109) and 4.1× the $6,176 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)

EIN: 330737312

Public IRS & CMS ownership records classify Pacifica Hospital of the Valley 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

Safety Composite67/100

Median ER Wait216 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-08-12·administrative_or_closure
Met Requirements
Recorded
2024-12-19·administrative_or_closure
Closure Notice
Recorded
2024-08-13·cap_corrective_action
CAP Request
Recorded
2023-11-13·administrative_or_closure
Closure Notice
Recorded
2023-03-17·warning_notice
Warning Notice
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

Regional Value & Quality Leader

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

Price Index: 0.90× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Care 1St Health Plan

-51.2%

Altamed

+212.6%

Median Household Income$87,760U.S. Census ACS

Local Uninsured Share8.7%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 58/100 · Caution CMS CCN 050378 EIN 330737312

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050378) ↗ Verify IRS Form 990 (EIN 330737312) ↗ CMS HCRIS Cost Reports ↗

Published MRF File330737312_pacifica-hospital-of-the-valley_standardcharges.json

Publication / Vintage2025-11-19 · 14.06 MB

Validated Rate Rows1,395 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050378

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