Gunnison Valley Hospital
711 N Taylor St, Gunnison, CO 81230 · 114 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here are 64% below the fair benchmark (0.36×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Gunnison Valley Hospital prices routine shoppable procedures near 0.6× Medicare (p50 0.34×) while skewing captive emergency, lab, and upper-quartile codes to 2.2× Medicare (p75 0.44×, +29% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 64% below peer Fair BaseRate (0.36×)
- Self-pay cash beats commercial insurance on 47% of shoppable procedures (98/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 82% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (63.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.36× 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 (0.7×) & laboratory (1.7×) services average 3.67× higher multiples than routine shoppable care (0.6×)
- Upper-quartile procedures (Q75 0.44×) jump +29% above the median procedure ratio (Q50 0.34×)
- Unnegotiated chargemaster list prices average 6.9× Medicare (28¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Gunnison Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $56,639 | 2.9× |
| Total hip replacement CPT Code: 27130 | $11,069 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $4,650 | 3.2× |
| C-section delivery (full package) CPT Code: 59510 | $4,022 | 1.4× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,617 | 1.3× |
| Total knee replacement CPT Code: 27447 | $3,634 | 0.3× |
| Rabies immune globulin HCPCS Code: 90375 | $1,724 | 5.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,039 | 0.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $864 | 0.3× |
| Blood transfusion CPT Code: 36430 | $823 | 1.7× |
| Bunion correction surgery CPT Code: 28296 | $814 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $838 | 0.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $783 | 0.3× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $397 | 2.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $313 | 3.6× |
| X-ray, lower back CPT Code: 72110 | $336 | 3.0× |
| X-ray, hip CPT Code: 73502 | $262 | 2.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $274 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $295 | 0.2× |
| X-ray, shoulder CPT Code: 73030 | $264 | 2.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $238 | 2.6× |
| X-ray, ankle CPT Code: 73610 | $219 | 2.4× |
| X-ray, foot CPT Code: 73630 | $216 | 2.3× |
| X-ray, hand CPT Code: 73130 | $218 | 2.3× |
| X-ray, pelvis CPT Code: 72170 | $238 | 2.2× |
Audit a Bill or Quote at Gunnison Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $42,433
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (63.7% of gross = $42,433).
Self-Pay Cash Rate ($56,639) Beats Your Bill
Gunnison Valley Hospital's published 45 CFR § 180 self-pay cash rate is $56,639 (vs. $56,639 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($66,634) is $47,202 above the denoised Fair BaseRate ($19,432) and 4.7× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (63.7% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (75 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Gunnison Valley Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.