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

Poudre Valley Hospital in Fort Collins, CO currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Poudre Valley Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Poudre Valley Hospital 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 200 Beds · rural Updated: 2025-11-01

Poudre Valley Hospital

1024 S Lemay Ave, Fort Collins, CO 80524 · 129 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.10×vs. Fair Market Price

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 44% of the Time

File Completeness66

Price Logic87

Peer Alignment71

Clean Billing88

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Poudre Valley Hospital maintains elevated commercial insurance contracts (1.10× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 44% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#24 of 64 in CO · 35th State Percentile#1,676 of 3,385 in U.S. · 49th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 44% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 79% patient recommendation (79/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.10× 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 0.98× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.35×) jump +38% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 3,751) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.79× Divergence

1.1× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 0.93× · Q50 0.98× · Q75 1.35×

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

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

0.6× MedicareGood

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

44% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 79/100Fair

Procedure Prices at Poudre Valley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 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`	—	$46,329	$30,775	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$27,858	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,663	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,284	$17,936	1.4×
Total hip replacement CPT Code: `27130`	—	$12,931	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,931	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,181	$8,223	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,863	$6,109	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$4,980	$2,975	1.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,697	$2,680	1.8×
Breast lump removal CPT Code: `19120`	—	$3,848	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,637	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,494	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,494	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,890	$2,540	1.1×
Trauma team activation HCPCS Code: `G0390`	$4,830	$1,330	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$3,347	$1,185	$1,256	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,173	$1,173	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,615	$1,022	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,278	$942	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,763	$916	$981	0.9×
Review of medical records for care CPT Code: `90889`	$575	$575	$114	5.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,952	$583	$511	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,680	$551	$583	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,169	$500	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,841	$515	$369	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,654	$500	$448	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,157	$492	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,175	$437	$303	1.4×
Blood transfusion CPT Code: `36430`	$805	$439	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$5,765	$380	$322	1.2×
Psychological testing by technician CPT Code: `96138`	—	$401	$395	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,229	$374	$167	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,580	$374	$168	2.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,747	$374	$169	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,686	$374	$258	1.4×
CT scan, pelvis CPT Code: `72192`	$1,665	$374	$163	unverified
CT scan, sinuses CPT Code: `70486`	$1,225	$325	$166	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,283	$345	$242	1.4×
Neurobehavioral status check CPT Code: `96116`	—	$313	$231	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,975	$307	$160	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,662	$248	$272	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$825	$186	$151	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$153	$204	$201	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$494	$160	$148	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$358	$161	$166	1.0×
Family therapy session CPT Code: `90847`	$431	$161	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$428	$161	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$331	$161	$185	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$362	$130	$123	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$128	$123	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$130	$128	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$91	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$111	$110	1.0×
Group therapy session CPT Code: `90853`	$291	$93	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$617	$107	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$715	$107	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$834	$107	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$823	$107	$134	0.8×
Care planning with family CPT Code: `90887`	—	$85	$107	0.8×
X-ray, lower back CPT Code: `72110`	$614	$86	$112	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$85	$85	$86	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$396	$562	$203	2.8×
Typhoid vaccine HCPCS Code: `90675`	$707	$445	$347	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$236	$276	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$186	$186	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$81	$89	$56	1.6×
Drug screening test HCPCS Code: `G0480`	$207	$114	$116	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$45	$40	$14	2.9×
Speech therapy (group session) CPT Code: `92508`	$71	$56	$27	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$99	$60	$38	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$104	$60	$38	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$86	$60	$38	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$111	$60	$40	1.5×
Prosthetic fitting and training CPT Code: `97761`	$85	$60	$45	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$238	$77	$86	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$52	$44	$35	1.3×
Orthotic fitting and training CPT Code: `97760`	$86	$60	$51	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$32	$33	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$102	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$102	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$102	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$234	$60	$64	0.9×
X-ray, hip CPT Code: `73502`	$468	$74	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$404	$67	$93	0.7×
X-ray, hand CPT Code: `73130`	$404	$64	$93	0.7×
X-ray, ankle CPT Code: `73610`	$305	$64	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$254	$59	$92	0.6×
X-ray, foot CPT Code: `73630`	$323	$59	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$404	$56	$93	0.6×
X-ray, chest (single view) CPT Code: `71045`	$379	$43	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$339	$47	$110	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$48	$48	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$43	$43	$37	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$60	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$120	$60	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$81	$60	$34	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$230	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$53	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$82	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$160	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$201	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$108	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$123	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$148	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$54	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$134	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$134	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$87	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$199	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$83	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$205	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$267	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$267	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$326	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$197	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$99	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$217	$13	$14	0.9×
Blood antibody screen CPT Code: `86850`	$103	$36	$46	0.8×
Culture, blood CPT Code: `87040`	$249	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$183	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$190	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$241	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$71	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$70	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.7%

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

CMS CCN: 060010

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $46,329

1. Amount on Your Bill or Quote ($) Pre-filled with Poudre Valley 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: $61,933 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $61,933

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.7% of gross = $61,933).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Poudre Valley 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 +$80,415 Above Fair BaseRate

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

Your bill ($111,190) is $80,415 above the denoised Fair BaseRate ($30,775) and 4.7× 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)

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 (55.7% 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.

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 Overall4/5 Stars (4/5)

Safety Composite79/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait124 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

Hip/Knee Complication Rate2.6%

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 (1,542 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 Poudre Valley Hospital.

Price Index: 1.00× regional baseline

Quality: 82/100 CMS composite

Median Household Income$91,364U.S. Census ACS

Local Uninsured Share5.7%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 82/100 · Corroborated CMS CCN 060010

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 060010) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-11-01

Validated Rate Rows7,608 (CMS v3.0.0)

File Integrity DigestVerified · CCN 060010

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