How many shoppable procedure prices are published for Spanish Peaks Regional Health Center?

Spanish Peaks Regional Health Center in Walsenburg, CO currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Spanish Peaks Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Spanish Peaks Regional Health Center's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 20 Beds · rural Updated: 2026-08-01

Spanish Peaks Regional Health Center

23500 Us Highway 160, Walsenburg, CO 81089 · 112 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.89×vs. Fair Market Price

Typical commercial prices here are +89% above the fair benchmark (1.89×) even after accounting for local nurse/doctor wages and patient complexity.

56/100 · Caution

56/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness45

Price Logic51

Peer Alignment66

Clean Billing79

Real Cash Discount44

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +28% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Spanish Peaks Regional Health Center prices routine shoppable procedures at 2.9× Medicare (median 1.90× Fair BaseRate) while upper-quartile commercial rates jump +28% to 2.44× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#58 of 64 in CO · 89th State Percentile#3,012 of 3,385 in U.S. · 88th 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 37% of shoppable procedures (44/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 68% 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 (1.89× 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 1.90× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.44×) jump +28% above the median procedure ratio (Q50 1.90×)
Unnegotiated chargemaster list prices average 7.3× Medicare (30¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.9× Medicare

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

Back-Door Captive & ER0.55× Divergence

1.6× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.93× · Q50 1.90× · Q75 2.44×

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

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

1.1× MedicareGood

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

37% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Spanish Peaks Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 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`	$18,838	$18,838	$19,087	unverified
Rabies immune globulin HCPCS Code: `90375`	$12,861	$12,861	$322	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,419	$10,419	$8,223	1.3×
Trauma team activation HCPCS Code: `G0390`	$2,250	$2,500	$1,453	1.7×
C-section delivery (full package) CPT Code: `59510`	$4,388	$2,118	$2,975	0.7×
Total hip replacement CPT Code: `27130`	$2,097	$2,097	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,093	$2,093	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	$3,947	$1,931	$2,680	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,199	$1,459	$258	5.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,052	$1,377	$242	5.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,670	$1,275	$583	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,733	$1,200	$160	7.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,763	$1,217	$448	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,633	$1,144	$303	3.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,133	$1,133	$6,109	0.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,763	$1,058	$168	6.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,763	$1,058	$169	6.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,215	$1,080	$369	2.9×
Bunion correction surgery CPT Code: `28296`	$1,653	$1,076	$3,446	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,731	$1,040	$167	6.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,312	$1,027	$511	2.0×
CT scan, sinuses CPT Code: `70486`	$1,651	$996	$166	6.0×
Inguinal hernia repair CPT Code: `49505`	$1,150	$1,015	$3,629	0.3×
CT scan, pelvis CPT Code: `72192`	$1,633	$986	$163	6.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,049	$760	$338	2.2×
Breast lump removal CPT Code: `19120`	$1,055	$743	$3,875	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$972	$717	$343	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$942	$681	$3,372	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$811	$608	$1,256	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$854	$632	$2,540	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$711	$552	$987	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$724	$524	$272	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$636	$511	$981	0.5×
Ultrasound, pelvis CPT Code: `76856`	$329	$305	$130	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$329	$305	$134	2.3×
Blood transfusion CPT Code: `36430`	$391	$315	$498	0.6×
X-ray, shoulder CPT Code: `73030`	$340	$302	$92	unverified
X-ray, hand CPT Code: `73130`	$340	$302	$93	unverified
X-ray, ankle CPT Code: `73610`	$340	$302	$93	unverified
X-ray, foot CPT Code: `73630`	$340	$302	$92	unverified
X-ray, lower back CPT Code: `72110`	$365	$244	$112	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$329	$264	$126	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$329	$264	$132	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$258	$258	$185	1.4×
X-ray, hip CPT Code: `73502`	$272	$192	$93	2.1×
X-ray, pelvis CPT Code: `72170`	$302	$209	$110	1.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$218	$218	$181	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$216	$216	$201	1.1×
X-ray, chest (two views) CPT Code: `71046`	$243	$176	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$235	$172	$93	1.8×
X-ray, chest (single view) CPT Code: `71045`	$221	$164	$92	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$202	$131	$64	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$149	$149	$166	0.9×
Family therapy session CPT Code: `90847`	$147	$147	$173	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$206	$102	$86	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$212	$119	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$146	$81	$87	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$182	$100	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,627	$1,627	$347	4.7×
Pneumococcal vaccine HCPCS Code: `90732`	$310	$307	$140	2.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$385	$307	$203	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$284	$284	$11	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$265	$265	$111	unverified
Blood test, liver function panel CPT Code: `80076`	$230	$230	$9	unverified
Culture, blood CPT Code: `87040`	$194	$194	$11	unverified
Hepatitis C antibody test CPT Code: `86803`	$145	$145	$15	9.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$148	$148	$18	8.2×
Blood test, basic metabolic panel CPT Code: `80048`	$162	$162	$9	unverified
Culture, bacterial CPT Code: `87070`	$144	$144	$9	unverified
Blood test, lipase CPT Code: `83690`	$114	$114	$7	16.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$131	$131	$14	9.4×
Blood test, vitamin B12 CPT Code: `82607`	$136	$136	$16	8.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$97	$97	$6	16.2×
Blood test, calcium CPT Code: `82310`	$70	$70	$5	14.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$70	$70	$5	14.0×
Blood test, amylase CPT Code: `82150`	$92	$92	$7	13.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$99	$99	$8	12.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$111	$111	$10	11.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$109	$109	$14	7.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$111	$19	5.8×
Blood test, vitamin D CPT Code: `82306`	$125	$125	$31	4.0×
Drug screening test HCPCS Code: `G0480`	$114	$106	$116	0.9×
Blood test, magnesium CPT Code: `83735`	$110	$110	$7	unverified
Blood antibody screen CPT Code: `86850`	$197	$112	$46	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$130	$130	$56	unverified
Blood test, sodium CPT Code: `84295`	$70	$70	$5	14.0×
Blood test, potassium CPT Code: `84132`	$66	$66	$5	13.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$63	$70	$25	2.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$79	$79	$39	2.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$94	$94	$3	unverified
Orthotic fitting and training CPT Code: `97760`	$102	$63	$51	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$95	$46	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$47	$40	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$70	$86	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$70	$70	$4	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$70	$70	$4	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$105	$44	$38	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$63	$5	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$68	$68	$37	unverified
Blood test, hemoglobin CPT Code: `85018`	$32	$32	$3	10.7×
Physical therapy (gait training) CPT Code: `97116`	$88	$39	$33	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$44	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$95	$39	$35	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$93	$37	$34	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$139	$61	$148	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$22	$22	$25	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$311	$46	$123	0.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$47	$47	$33	unverified
Flu vaccine injection HCPCS Code: `G0008`	$20	$20	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$20	$20	$49	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$20	$20	$49	0.4×
Group therapy session CPT Code: `90853`	$40	$40	$100	unverified

Showing top 25 high-impact procedures of 112 total

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

Audit a Bill or Quote at Spanish Peaks Regional Health Center (Zero PHI Required)

CMS CCN: 061316

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $18,838

Insurer Median $18,838

1. Amount on Your Bill or Quote ($) Pre-filled with Spanish Peaks Regional Health Center’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 Save $2,093 Paying Cash

Self-Pay Cash Rate ($18,838) Beats Your Bill

Spanish Peaks Regional Health Center's published 45 CFR § 180 self-pay cash rate is $18,838 (vs. $18,838 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,844 Above Fair BaseRate

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

Your bill ($20,931) is $1,844 above the denoised Fair BaseRate ($19,087) and 1.5× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Spanish Peaks Regional Health Center 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

Safety Composite69/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait111 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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 Spanish Peaks Regional Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-02-28·administrative_or_closure
Met Requirements
Recorded
2023-08-18·administrative_or_closure
Closure Notice
Recorded
2023-04-20·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (49 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Spanish Peaks Regional Health Center.

Price Index: 0.79× regional baseline

Quality: 55/100 CMS composite

Median Household Income$52,139U.S. Census ACS

Local Uninsured Share4.2%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 56/100 · Caution CMS CCN 061316

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 061316) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileurl

Publication / Vintage2026-08-01 · 52.26 MB

Validated Rate Rows1,554 (CMS v3.0.0)

File Integrity DigestVerified · CCN 061316

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