How many shoppable procedure prices are published for USC Arcadia Hospital?

USC Arcadia Hospital in Arcadia, CA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, USC Arcadia Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is USC Arcadia Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 318 Beds · urban Updated: 06/18/2024

USC Arcadia Hospital

300 W Huntington Dr, Arcadia, CA 91007 · 102 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.70×vs. Fair Market Price

Typical commercial prices here are +70% above the fair benchmark (1.70×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness51

Price Logic84

Peer Alignment76

Clean Billing58

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.70× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

USC Arcadia Hospital prices shoppable and inpatient services (3.4× to 1.9× Medicare, divergence 0.56×) in alignment with regional hospital peers (1.70× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#214 of 240 in CA · 88th State Percentile#2,875 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (56/100 safety score) with 60% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.94× Fair BaseRate (3.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.6× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 15.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.4× Medicare

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

Back-Door Captive & ER0.56× Divergence

1.9× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 1.37× · Q50 1.94× · Q75 2.19×

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

3.4× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.9× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.4× MedicareWatchout

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

2.6× MedicareFair

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

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 56/100Elevated

Procedure Prices at USC Arcadia Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 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`	$19,300	$19,930	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$10,500	$18,931	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$10,500	$18,353	$17,936	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,407	$10,236	$6,109	1.7×
Total hip replacement CPT Code: `27130`	$23,248	$9,320	$13,413	0.7×
Total knee replacement CPT Code: `27447`	$19,449	$9,320	$13,523	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,300	$8,075	$8,223	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$8,513	$7,396	$3,372	2.2×
Inguinal hernia repair CPT Code: `49505`	$7,474	$7,396	$3,629	2.0×
Bunion correction surgery CPT Code: `28296`	$12,507	$6,890	$3,446	2.0×
C-section delivery (full package) CPT Code: `59510`	$5,853	$5,981	$2,975	2.0×
Breast lump removal CPT Code: `19120`	$5,869	$5,981	$3,875	1.5×
Vaginal delivery (full package) CPT Code: `59400`	$2,716	$5,233	$2,680	2.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,839	$5,045	$1,256	4.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,845	$5,045	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,788	$5,045	$981	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,060	$1,581	$343	4.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,944	$1,581	$511	3.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,987	$1,581	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,693	$1,581	$369	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,897	$1,204	$258	4.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,333	$1,204	$448	2.7×
Blood transfusion CPT Code: `36430`	$593	$1,165	$498	2.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,499	$988	$242	4.1×
CT scan, sinuses CPT Code: `70486`	$1,341	$953	$166	5.7×
CT scan, pelvis CPT Code: `72192`	$1,420	$933	$163	5.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,495	$953	$167	5.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,579	$953	$168	5.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,579	$953	$169	5.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$797	$827	$272	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,405	$763	$160	4.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,056	$712	$303	2.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,499	$644	$583	1.1×
Rabies immune globulin HCPCS Code: `90375`	$4,740	$353	$322	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$515	$278	$126	2.2×
Ultrasound, pelvis CPT Code: `76856`	$562	$278	$130	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$506	$278	$132	2.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$586	$278	$134	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$258	$258	$86	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$164	$225	$86	2.6×
X-ray, lower back CPT Code: `72110`	$420	$225	$112	2.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$236	$220	$201	1.1×
X-ray, hip CPT Code: `73502`	$102	$169	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$246	$151	$93	1.6×
X-ray, pelvis CPT Code: `72170`	$211	$162	$110	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$827	$175	$151	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$235	$117	$64	1.8×
X-ray, shoulder CPT Code: `73030`	$235	$131	$92	1.4×
X-ray, foot CPT Code: `73630`	$235	$130	$92	1.4×
X-ray, ankle CPT Code: `73610`	$235	$131	$93	1.4×
X-ray, hand CPT Code: `73130`	$235	$130	$93	1.4×
X-ray, chest (two views) CPT Code: `71046`	$235	$127	$93	1.4×
X-ray, chest (single view) CPT Code: `71045`	$211	$99	$92	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$110	$110	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$110	$110	$123	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$84	$84	$35	2.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$84	$84	$87	1.0×
Orthotic fitting and training CPT Code: `97760`	$98	$98	$51	unverified
Typhoid vaccine HCPCS Code: `90675`	$495	$398	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$191	$178	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$167	$119	$140	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$88	$88	$10	8.8×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$78	$34	2.3×
Blood test, vitamin D CPT Code: `82306`	$96	$60	$31	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$70	$38	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$88	$91	$111	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$61	$61	$40	1.5×
Physical therapy (gait training) CPT Code: `97116`	$65	$65	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$75	$75	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$61	$61	$45	unverified
Blood test, calcium CPT Code: `82310`	$58	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$63	$10	$5	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$118	$28	$14	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$76	$8	$4	2.0×
Blood test, sodium CPT Code: `84295`	$76	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$60	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$5	$12	$6	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$104	$31	$16	1.9×
Culture, blood CPT Code: `87040`	$185	$21	$11	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$152	$34	$18	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$54	$56	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$68	$6	$3	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$151	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$231	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$188	$17	$9	1.9×
Blood test, liver function panel CPT Code: `80076`	$148	$17	$9	1.9×
Culture, bacterial CPT Code: `87070`	$131	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$116	$13	$7	1.9×
Blood test, potassium CPT Code: `84132`	$82	$9	$5	1.8×
Blood test, hemoglobin CPT Code: `85018`	$32	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$8	$5	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$33	$37	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$64	$18	$25	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$28	$39	0.7×
Blood test, lipase CPT Code: `83690`	$4	$4	$7	0.6×
Blood antibody screen CPT Code: `86850`	$67	$20	$46	0.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$6	$6	$19	0.3×
Drug screening test HCPCS Code: `G0480`	$19	$19	$116	0.2×
Speech therapy (group session) CPT Code: `92508`	$29	$29	$27	unverified
Blood test, magnesium CPT Code: `83735`	$2	$2	$7	0.3×
Hepatitis C antibody test CPT Code: `86803`	$4	$4	$15	0.3×

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 19.6%

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

CMS CCN: 050238

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $19,300

Insurer Median $19,930

1. Amount on Your Bill or Quote ($) Pre-filled with USC Arcadia 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: $21,414 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,414

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.6% of gross = $21,414).

Step 2 · Cash vs. Insurance Arbitrage Save $90,125 Paying Cash

Self-Pay Cash Rate ($19,300) Beats Your Bill

USC Arcadia Hospital's published 45 CFR § 180 self-pay cash rate is $19,300 (vs. $19,930 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$90,338 Above Fair BaseRate

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

Your bill ($109,425) is $90,338 above the denoised Fair BaseRate ($19,087) and 7.8× 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: 951643336

Filing Period: 193705

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 (19.6% 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 Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait258 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

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 USC Arcadia Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-02-13·administrative_or_closure
Closure Notice
Recorded
2024-11-25·cap_corrective_action
CAP Request
Recorded
2024-08-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (552 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 Quality & Price Benchmark

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

Price Index: 1.07× regional baseline

Quality: 44/100 CMS composite

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 73/100 · Corroborated CMS CCN 050238 EIN 951643336

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050238) ↗ Verify IRS Form 990 (EIN 951643336) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage06/18/2024

Validated Rate Rows687 (CMS v2.0.0)

File Integrity DigestVerified · CCN 050238

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