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Hospital Profile Critical Access Hospital Government - Hospital District or Authority 15 Beds · rural Updated: 2026-05-28

Yuma District Hospital

1000 W 8Th Ave, Yuma, CO 80759 · 48 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.74×vs. Fair Market Price
Position vs. 1.00× Fair Price+74% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +74% above the fair benchmark (1.74×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).83/100 · Corroborated
83/100Self-Pay Cash Beats Insurance 88% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic93Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment64Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing50Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score69/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait124 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Yuma District Hospital maintains elevated commercial insurance contracts (1.74× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 88% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#55 of 64 in CO · 84th State Percentile#2,912 of 3,385 in U.S. · 85th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.63× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 88% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (69/100 safety score) with 72% 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)

  • Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
  • Commercial insurance median sits at 1.71× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Specialty infusion drugs (J-codes) average 2.2× Medicare — verify per-unit billing on itemized statements
  • Unnegotiated chargemaster list prices average 11.5× Medicare (27¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.9× Medicare

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

Back-Door Captive & ER0.74× Divergence
1.4× Medicare

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

Quantile Tail Spread+9% Upper Tail
Q25 1.63× · Q50 1.71× · Q75 1.86×

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
1.9× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.4× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.5× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
2.8× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
0.5× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.2× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
88% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 69/100Fair

Procedure Prices at Yuma District Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 48 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,001 9.8×
Cataract surgery with lens implant
CPT Code: 66984
 $3,420 1.3×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,901 6.5×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,844 9.4×
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,389 2.3×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $676 5.4×
Breathing treatment (nebulizer)
CPT Code: 94640
 $457 2.3×
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $213 3.3×
New patient office visit (30-44 min)
CPT Code: 99203
 $198 1.8×
Office visit, established patient (30-39 min)
CPT Code: 99214
 $198 1.6×
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $201 1.4×
Screening mammogram (both breasts)
CPT Code: 77067
 $170 1.4×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $131 1.5×
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $175 15.9×
Blood test, lipase
CPT Code: 83690
 $118 16.9×
Blood test, basic metabolic panel
CPT Code: 80048
 $140 15.6×
Blood test, liver function panel
CPT Code: 80076
 $139 15.4×
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $141 14.1×
Culture, bacterial
CPT Code: 87070
 $125 13.9×
Culture, blood
CPT Code: 87040
 $128 11.6×
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $138 9.9×
Blood test, creatinine (kidney)
CPT Code: 82565
 $102 20.4×
Blood test, magnesium
CPT Code: 83735
 $104 14.9×
Blood test, ferritin (iron stores)
CPT Code: 82728
 $122 8.7×
Blood test, vitamin B12
CPT Code: 82607
 $126 7.9×
Showing top 25 high-impact procedures of 48 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Yuma District Hospital (Zero PHI Required)

CMS CCN: 061315
CPT 70553
Fair BaseRate™ $511
Medicare Rate $356
Self-Pay Cash $5,001
Insurer Median $5,001
Pre-filled with Yuma District Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 $1,667 Paying Cash

Self-Pay Cash Rate ($5,001) Beats Your Bill

Yuma District Hospital's published 45 CFR § 180 self-pay cash rate is $5,001 (vs. $5,001 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,157 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($6,668) is $6,157 above the denoised Fair BaseRate ($511) and 18.7× the $356 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)

EIN: 840420041

Public IRS & CMS ownership records classify Yuma District Hospital 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
Median ER Wait124 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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 Yuma District Hospital.

Price Index: 2.04× regional baseline
Quality: 57/100 CMS composite
Median Household Income$60,051U.S. Census ACS
Local Uninsured Share14.6%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 83/100 · Corroborated CMS CCN 061315 EIN 840420041

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 061315) ↗ Verify IRS Form 990 (EIN 840420041) ↗ CMS HCRIS Cost Reports ↗
Published MRF File840420041_yuma-district-hospital_standardcharges.csv
Publication / Vintage2026-05-28 · 12.95 MB
Validated Rate Rows1,103 (CMS v3.0.0)
File Integrity Digest0638da41c59cc9e4fc38…

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