How many shoppable procedure prices are published for Stanford Health Care Tri-Valley?

Stanford Health Care Tri-Valley in Pleasanton, CA currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Stanford Health Care Tri-Valley's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Stanford Health Care Tri-Valley's median negotiated commercial rate is 2.3× the regionally adjusted fair BaseRate benchmark.

What is Stanford Health Care Tri-Valley's CMS Care Compare overall star rating?

CMS Care Compare assigns Stanford Health Care Tri-Valley an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 166 Beds · rural Updated: 2026-04-01

Stanford Health Care Tri-Valley

5555 West Las Positas Boulevard, Pleasanton, CA 94588 · 115 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

2.33×vs. Fair Market Price

Typical commercial prices here are +133% above the fair benchmark (2.33×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness60

Price Logic52

Peer Alignment73

Clean Billing30

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.33× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +25% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Stanford Health Care Tri-Valley prices routine shoppable procedures at 3.2× Medicare (median 2.57× Fair BaseRate) while upper-quartile commercial rates jump +25% to 3.21× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#229 of 240 in CA · 95th State Percentile#3,209 of 3,385 in U.S. · 94th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 74% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 2.57× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.21×) jump +25% above the median procedure ratio (Q50 2.57×)
Unnegotiated chargemaster list prices average 20.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

3.2× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 1.93× · Q50 2.57× · Q75 3.21×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.9× 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

0.6× MedicareGood

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

0.5× MedicareGood

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

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 65/100Fair

Procedure Prices at Stanford Health Care Tri-Valley

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$57,240	$19,432	2.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$52,368	$19,087	2.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$26,080	$17,936	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$19,864	$8,223	2.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$13,700	$6,109	2.2×
Inguinal hernia repair CPT Code: `49505`	—	$9,665	$3,629	2.7×
Total hip replacement CPT Code: `27130`	—	$9,316	$13,413	0.7×
Total knee replacement CPT Code: `27447`	—	$9,316	$13,523	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,768	$3,372	2.6×
C-section delivery (full package) CPT Code: `59510`	—	$8,476	$2,975	2.8×
Bunion correction surgery CPT Code: `28296`	—	$8,476	$3,446	2.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$8,217	$2,540	3.2×
Breast lump removal CPT Code: `19120`	—	$7,486	$3,875	1.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,416	$2,680	2.8×
Upper endoscopy with biopsy CPT Code: `43239`	$4,007	$5,694	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,664	$5,694	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,170	$5,694	$1,256	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,915	$4,915	$448	11.0×
MRI, lower back (no contrast) CPT Code: `72148`	$4,408	$4,408	$338	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,259	$4,259	$511	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,764	$3,764	$369	unverified
Trauma team activation HCPCS Code: `G0390`	—	$3,380	$1,453	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$3,252	$3,252	$343	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,070	$3,070	$258	11.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,301	$2,301	$169	13.6×
CT scan, pelvis CPT Code: `72192`	$2,272	$2,272	$163	13.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,269	$2,269	$242	9.4×
Injection procedure for pain management HCPCS Code: `G0260`	$1,406	$2,194	$855	2.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,088	$2,088	$168	12.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,970	$1,970	$160	12.3×
CT scan, sinuses CPT Code: `70486`	$1,943	$1,943	$166	11.7×
Blood transfusion CPT Code: `36430`	$1,599	$1,711	$498	3.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,418	$1,648	$583	2.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,456	$1,456	$167	8.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,453	$1,453	$272	5.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,039	$1,385	$303	4.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,079	$1,079	$134	8.1×
Rabies immune globulin HCPCS Code: `90375`	$11,961	$688	$322	2.1×
Ultrasound, pelvis CPT Code: `76856`	$927	$563	$130	4.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$922	$527	$126	4.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$862	$527	$132	4.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$485	$166	2.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$417	$417	$148	2.8×
X-ray, lower back CPT Code: `72110`	$615	$337	$112	3.0×
X-ray, hip CPT Code: `73502`	$238	$299	$93	3.2×
Screening mammogram (both breasts) CPT Code: `77067`	$271	$271	$123	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$557	$222	$93	2.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$188	$25	7.5×
X-ray, shoulder CPT Code: `73030`	$415	$211	$92	2.3×
Orthotic fitting and training CPT Code: `97760`	$185	$185	$51	3.6×
X-ray, foot CPT Code: `73630`	$410	$193	$92	2.1×
X-ray, chest (two views) CPT Code: `71046`	$452	$195	$93	2.1×
X-ray, hand CPT Code: `73130`	$411	$193	$93	2.1×
X-ray, ankle CPT Code: `73610`	$406	$193	$93	2.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$472	$165	$64	2.6×
X-ray, pelvis CPT Code: `72170`	$357	$190	$110	1.7×
Family therapy session CPT Code: `90847`	—	$185	$173	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$189	$231	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$177	$134	$38	3.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$87	$138	$40	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$76	$118	$35	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$91	$123	$38	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$102	$122	$38	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$104	$106	$34	3.1×
Care planning with family CPT Code: `90887`	—	$129	$107	1.2×
Physical therapy (gait training) CPT Code: `97116`	$76	$102	$33	3.1×
Prosthetic fitting and training CPT Code: `97761`	—	$122	$45	2.7×
X-ray, chest (single view) CPT Code: `71045`	$343	$106	$92	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$594	$118	$201	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$92	$92	$86	1.1×
Typhoid vaccine HCPCS Code: `90675`	$2,496	$2,496	$347	7.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,099	$538	$203	2.7×
Culture, blood CPT Code: `87040`	$449	$449	$11	40.8×
Culture, bacterial CPT Code: `87070`	$362	$362	$9	40.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$344	$344	$11	31.3×
Blood test, amylase CPT Code: `82150`	$271	$271	$7	38.7×
Blood test, basic metabolic panel CPT Code: `80048`	$276	$276	$9	30.7×
Blood test, liver function panel CPT Code: `80076`	$262	$262	$9	29.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$245	$245	$20	12.3×
Blood test, vitamin D CPT Code: `82306`	$251	$251	$31	8.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$550	$238	$111	2.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$250	$250	$14	unverified
Blood test, magnesium CPT Code: `83735`	$207	$207	$7	29.6×
Blood test, lipase CPT Code: `83690`	$206	$206	$7	29.4×
Pneumococcal vaccine HCPCS Code: `90732`	—	$231	$140	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$182	$182	$14	13.0×
Blood test, vitamin B12 CPT Code: `82607`	$200	$200	$16	12.5×
Blood antibody screen CPT Code: `86850`	$165	$168	$46	3.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$131	$131	$8	16.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$126	$126	$10	12.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$136	$136	$3	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$105	$105	$18	5.8×
Flu vaccine injection HCPCS Code: `G0008`	$106	$104	$48	2.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$87	$104	$49	2.1×
Blood test, potassium CPT Code: `84132`	$128	$128	$5	unverified
Blood test, calcium CPT Code: `82310`	$91	$91	$5	18.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$275	$101	$56	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$96	$96	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$117	$117	$19	unverified
Blood test, sodium CPT Code: `84295`	$120	$120	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$93	$93	$5	18.6×
Hepatitis B vaccine HCPCS Code: `90744`	$169	$78	$37	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$214	$76	$86	0.9×
Group therapy session CPT Code: `90853`	—	$73	$100	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$91	$91	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$116	$116	$4	unverified
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	6.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$162	$49	$14	3.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$74	$39	1.9×
Colorectal cancer screening HCPCS Code: `G0010`	$87	$87	$49	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$96	$48	$25	1.9×
Blood test, hemoglobin CPT Code: `85018`	$63	$63	$3	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$70	$70	$35	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Drug screening test HCPCS Code: `G0480`	$26	$26	$116	0.2×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.4%

Audit a Bill or Quote at Stanford Health Care Tri-Valley (Zero PHI Required)

CMS CCN: 050283

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $57,240

1. Amount on Your Bill or Quote ($) Pre-filled with Stanford Health Care Tri-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 501(r) AGB Cap: $32,201 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $32,201

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.4% of gross = $32,201).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Stanford Health Care Tri-Valley's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$117,944 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($137,376) is $117,944 above the denoised Fair BaseRate ($19,432) and 9.8× the $14,044 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: 941429628

Filing Period: 196409

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 (23.4% 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

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait211 min

Left ER Before Seen4%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.8%

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

Source: CMS Hospital Care Compare (1,116 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Stanford Health Care Tri-Valley.

Price Index: 1.34× regional baseline

Quality: 66/100 CMS composite

Median Household Income$126,240U.S. Census ACS

Local Uninsured Share4.1%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 62/100 · Caution CMS CCN 050283 EIN 941429628

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050283) ↗ Verify IRS Form 990 (EIN 941429628) ↗ CMS HCRIS Cost Reports ↗

Published MRF File941429628_stanford-health-care---tri-valley_standardcharges.json

Publication / Vintage2026-04-01 · 41.07 MB

Validated Rate Rows213 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050283

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.

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