How many shoppable procedure prices are published for Valley Presbyterian Hospital?

Valley Presbyterian Hospital in Van Nuys, CA currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Valley Presbyterian Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Valley Presbyterian Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Valley Presbyterian Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 333 Beds · urban Updated: 2026-07-09

Valley Presbyterian Hospital

15107 Vanowen St, Van Nuys, CA 91405 · 128 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.38×vs. Fair Market Price

Typical commercial prices here are +38% above the fair benchmark (1.38×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness45

Price Logic84

Peer Alignment72

Clean Billing77

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.38× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Valley Presbyterian Hospital prices shoppable and inpatient services (1.4× to 1.3× Medicare, divergence 0.93×) in alignment with regional hospital peers (1.38× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#181 of 240 in CA · 75th State Percentile#2,411 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 15% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 62% patient recommendation (57/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.38× 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 1.25× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.38× 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.
Unnegotiated chargemaster list prices average 14.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.93× Divergence

1.3× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 1.20× · Q50 1.25× · Q75 1.32×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× 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

0.6× MedicareGood

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

15% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 57/100Elevated

Procedure Prices at Valley Presbyterian Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$35,399	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,520	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,374	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,586	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$16,513	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,513	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,989	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,776	$6,109	1.3×
Breast lump removal CPT Code: `19120`	—	$5,036	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$4,605	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,208	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	—	$4,208	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,703	$2,540	1.5×
C-section delivery (full package) CPT Code: `59510`	—	$2,756	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,488	$2,680	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,847	$1,256	1.5×
Trauma team activation HCPCS Code: `G0390`	—	$1,714	$1,453	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,007	$1,622	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,435	$981	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,089	$855	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,104	$1,021	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,533	$773	$583	1.3×
Blood transfusion CPT Code: `36430`	$2,094	$727	$498	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,522	$677	$511	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,485	$675	$448	unverified
Psychological testing by technician CPT Code: `96138`	—	$575	$395	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,650	$438	$272	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$4,137	$463	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$3,950	$463	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,328	$463	$369	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,987	$415	$303	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,453	$359	$258	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$3,943	$359	$242	unverified
Neurobehavioral status check CPT Code: `96116`	—	$278	$231	1.2×
Rabies immune globulin HCPCS Code: `90375`	$913	$275	$322	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$228	$166	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,641	$192	$134	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$198	$148	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$3,432	$214	$160	1.3×
Family therapy session CPT Code: `90847`	—	$228	$173	1.3×
CT scan, sinuses CPT Code: `70486`	$4,348	$214	$166	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$228	$181	1.3×
CT scan, pelvis CPT Code: `72192`	$3,977	$203	$163	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$228	$185	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$3,943	$203	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,682	$203	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,682	$203	$169	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$171	$128	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	—	$159	$123	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,013	$161	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$891	$161	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$912	$161	$132	1.2×
Group therapy session CPT Code: `90853`	—	$131	$100	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$509	$149	$123	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$172	$172	$201	0.9×
X-ray, hip CPT Code: `73502`	$318	$122	$93	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$410	$140	$151	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$342	$110	$86	1.3×
X-ray, pelvis CPT Code: `72170`	$263	$134	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$371	$112	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$237	$112	$92	1.2×
X-ray, foot CPT Code: `73630`	$524	$112	$92	1.2×
X-ray, lower back CPT Code: `72110`	$380	$135	$112	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$436	$105	$87	1.2×
X-ray, chest (two views) CPT Code: `71046`	$501	$112	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$416	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	$263	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$291	$112	$93	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$422	$129	$110	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$123	$123	$86	unverified
Care planning with family CPT Code: `90887`	—	$96	$107	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$368	$368	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$912	$315	$347	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$168	$168	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$168	$168	$56	unverified
Drug screening test HCPCS Code: `G0480`	—	$137	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$222	$133	$140	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$53	$35	1.5×
Orthotic fitting and training CPT Code: `97760`	$220	$74	$51	1.5×
Prosthetic fitting and training CPT Code: `97761`	$208	$65	$45	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$153	$54	$38	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$230	$56	$40	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$153	$52	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$153	$51	$38	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$147	$60	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	—	$60	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$421	$76	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$74	$111	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$219	$46	$35	1.3×
Speech therapy (group session) CPT Code: `92508`	$138	$35	$27	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$163	$44	$34	1.3×
Blood test, calcium CPT Code: `82310`	$104	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$83	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$139	$4	$3	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$386	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$175	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$139	$18	$14	1.3×
Physical therapy (gait training) CPT Code: `97116`	$179	$42	$33	1.3×
Blood test, magnesium CPT Code: `83735`	$137	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$725	$14	$11	1.3×
Blood test, vitamin D CPT Code: `82306`	$55	$39	$31	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$147	$60	$48	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$176	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$242	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$418	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$76	$19	$15	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$86	$24	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$139	$20	$16	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$27	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$20	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$37	$33	1.1×
Blood antibody screen CPT Code: `86850`	$43	$43	$46	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$146	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$159	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$196	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$668	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$682	$11	$9	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$98	$22	$18	1.2×
Culture, bacterial CPT Code: `87070`	$278	$11	$9	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$14	$14	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$168	$33	$37	0.9×
Blood test, potassium CPT Code: `84132`	$159	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$159	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$132	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$68	$3	$3	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$56	$23	$25	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$19	$25	0.8×

Showing top 25 high-impact procedures of 128 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.0%

Audit a Bill or Quote at Valley Presbyterian Hospital (Zero PHI Required)

CMS CCN: 050126

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $35,399

1. Amount on Your Bill or Quote ($) Pre-filled with Valley Presbyterian 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: $26,371 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $26,371

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.0% of gross = $26,371).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Valley Presbyterian Hospital'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 +$54,183 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($84,958) is $54,183 above the denoised Fair BaseRate ($30,775) and 3.6× the $23,504 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: 951945832

Filing Period: 196303

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 (31.0% 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 Composite57/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait234 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

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 Valley Presbyterian Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-01-07·administrative_or_closure
Met Requirements
Recorded
2025-07-31·administrative_or_closure
Met Requirements
Recorded
2024-07-24·administrative_or_closure
Closure Notice
Recorded
2024-06-17·cap_corrective_action
CAP Request
Recorded
2024-03-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (354 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

Above-Benchmark Price Tier

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

Price Index: 1.73× regional baseline

Quality: 45/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-39.3%

UnitedHealthcare

+186.4%

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 59/100 · Caution CMS CCN 050126 EIN 951945832

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050126) ↗ Verify IRS Form 990 (EIN 951945832) ↗ CMS HCRIS Cost Reports ↗

Published MRF File951945832_valley-presbyterian-hospital_standardcharges.csv

Publication / Vintage2026-07-09 · 392.29 MB

Validated Rate Rows4,486 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050126

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

Valley Presbyterian Hospital

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Valley Presbyterian Hospital

Audit a Bill or Quote at Valley Presbyterian Hospital (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $26,371

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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