How many shoppable procedure prices are published for Tahoe Forest Hospital?

Tahoe Forest Hospital in Truckee, CA currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

What is Tahoe Forest Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Tahoe Forest Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-09-28

Tahoe Forest Hospital

10121 Pine Ave, Truckee, CA 96161 · 116 Priced Procedures · 87% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

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.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness85

Price Logic61

Peer Alignment64

Clean Billing89

Real Cash Discount6

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.80× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Tahoe Forest Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.08× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#12 of 240 in CA · 4th State Percentile#268 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 29% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (77/100 safety score) with 87% 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)

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 (1.3×) & laboratory (2.4×) services average 1.38× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.08×) jump +46% above the median procedure ratio (Q50 0.74×)
Consolidated metro market (HHI 6,147) 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 & ER1.38× Divergence

1.1× Medicare

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

Quantile Tail Spread+46% Upper Tail

Q25 0.46× · Q50 0.74× · 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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.8× MedicareGood

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

29% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 77/100Fair

Procedure Prices at Tahoe Forest Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

Sort:

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`	$84,735	$84,735	$19,432	4.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$34,111	$34,111	$19,087	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,403	$23,403	$8,223	2.8×
Total knee replacement CPT Code: `27447`	$9,654	$9,654	$13,523	0.7×
Total hip replacement CPT Code: `27130`	$9,272	$9,272	$13,413	0.7×
Trauma team activation HCPCS Code: `G0390`	$6,499	$6,499	$1,453	unverified
Bunion correction surgery CPT Code: `28296`	$3,550	$3,550	$3,446	1.0×
Inguinal hernia repair CPT Code: `49505`	$3,500	$3,500	$3,629	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,364	$3,364	$6,109	0.6×
Cataract surgery with lens implant CPT Code: `66984`	$3,093	$3,093	$2,540	1.2×
Breast lump removal CPT Code: `19120`	$1,947	$1,947	$3,875	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$7,673	$1,807	$2,680	0.7×
C-section delivery (full package) CPT Code: `59510`	$8,506	$1,808	$2,975	0.6×
Blood transfusion CPT Code: `36430`	$1,789	$1,789	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,391	$1,400	$855	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,195	$1,195	$1,256	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$819	$819	$201	4.1×
Upper endoscopy with biopsy CPT Code: `43239`	$789	$789	$987	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,485	$703	$3,372	0.2×
Rabies immune globulin HCPCS Code: `90375`	$8,386	$404	$322	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,473	$394	$369	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,827	$354	$1,021	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,648	$314	$511	0.6×
Care planning with family CPT Code: `90887`	$333	$333	$107	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,183	$287	$448	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$669	$245	$583	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,618	$261	$981	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,094	$192	$151	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$151	$151	$38	4.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$569	$166	$185	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,332	$173	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,041	$171	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,519	$180	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,492	$192	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,493	$188	$338	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$545	$154	$148	1.0×
Orthotic fitting and training CPT Code: `97760`	$167	$167	$51	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$130	$130	$33	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$427	$125	$123	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,416	$148	$167	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,405	$145	$169	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,405	$144	$168	0.9×
CT scan, pelvis CPT Code: `72192`	$1,418	$132	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,388	$127	$166	0.8×
Family therapy session CPT Code: `90847`	$479	$131	$173	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,075	$147	$242	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$637	$121	$181	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$390	$83	$86	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$200	$81	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,381	$105	$160	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$749	$85	$134	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$380	$93	$166	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,177	$1,177	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$481	$481	$203	2.4×
Pneumococcal vaccine HCPCS Code: `90732`	$375	$375	$140	2.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$145	$145	$49	3.0×
Colorectal cancer screening HCPCS Code: `G0010`	$145	$145	$49	3.0×
Hepatitis B vaccine HCPCS Code: `90744`	$127	$127	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$145	$146	$48	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$290	$71	$35	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$198	$79	$110	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$441	$53	$87	0.6×
Ultrasound, pelvis CPT Code: `76856`	$731	$69	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$716	$62	$126	0.5×
Psychological testing evaluation CPT Code: `96136`	$193	$61	$128	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$712	$61	$132	0.5×
Neurobehavioral status check CPT Code: `96116`	$403	$73	$231	0.3×
Blood test, vitamin D CPT Code: `82306`	$221	$34	$31	1.1×
Psychological testing by technician CPT Code: `96138`	$141	$52	$395	0.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$62	$62	$14	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$62	$5	$4	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$95	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$106	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$103	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$111	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$234	$10	$9	1.1×
Speech therapy (group session) CPT Code: `92508`	$80	$30	$27	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$92	$21	$19	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$165	$11	$10	1.1×
Culture, blood CPT Code: `87040`	$292	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$180	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$282	$16	$15	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$229	$19	$18	1.1×
X-ray, hip CPT Code: `73502`	$324	$38	$93	0.4×
X-ray, lower back CPT Code: `72110`	$530	$45	$112	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$52	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$75	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$79	$6	$5	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$209	$16	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$122	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$152	$12	$11	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$215	$17	$16	1.1×
Blood test, liver function panel CPT Code: `80076`	$126	$9	$9	1.0×
Blood test, potassium CPT Code: `84132`	$73	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$71	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$27	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$43	$5	$5	1.0×
Blood test, amylase CPT Code: `82150`	$52	$6	$7	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$135	$29	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	$129	$16	$33	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$18	$38	0.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$112	$17	$38	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$141	$15	$35	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$439	$24	$64	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$151	$15	$40	0.4×
X-ray, chest (two views) CPT Code: `71046`	$305	$28	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$356	$26	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$332	$26	$93	0.3×
X-ray, hand CPT Code: `73130`	$352	$26	$93	0.3×
X-ray, ankle CPT Code: `73610`	$352	$26	$93	0.3×
X-ray, foot CPT Code: `73630`	$349	$25	$92	0.3×
Group therapy session CPT Code: `90853`	$112	$22	$100	0.2×
X-ray, pelvis CPT Code: `72170`	$313	$22	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	$279	$18	$92	0.2×
Blood antibody screen CPT Code: `86850`	$221	$4	$46	0.1×

Showing top 25 high-impact procedures of 116 total

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

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

CMS CCN: 051328

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $84,735

Insurer Median $84,735

1. Amount on Your Bill or Quote ($) Pre-filled with Tahoe Forest 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 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: $84,735

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Tahoe Forest Hospital's published 45 CFR § 180 self-pay cash rate is $84,735 (vs. $84,735 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$65,303 Above Fair BaseRate

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

Your bill ($84,735) is $65,303 above the denoised Fair BaseRate ($19,432) and 6.0× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Tahoe Forest Hospital 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 Overall5/5 Stars (5/5)

Safety Composite77/100

Would Recommend87%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait114 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5.9%

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 Tahoe Forest Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-29·administrative_or_closure
Met Requirements
Recorded
2024-11-11·administrative_or_closure
Closure Notice
Recorded
2024-08-07·warning_notice
Warning Notice
Recorded
2023-12-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (253 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 0.95× regional baseline

Quality: 79/100 CMS composite

Median Household Income$84,905U.S. Census ACS

Local Uninsured Share5.2%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 051328

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 051328) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-28 · 85.67 MB

Validated Rate Rows3,721 (CMS v3.0.0)

File Integrity Digest3f9cd5261289ba636604…

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