Cassia Regional Hospital
1501 Hiland Avenue, Burley, ID 83318 · 119 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are +219% above the fair benchmark (3.19×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 3.19× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Cassia Regional Hospital prices routine shoppable procedures near 4.6× Medicare (p50 2.92×) while skewing captive emergency, lab, and upper-quartile codes to 8.9× Medicare (p75 4.78×, +64% 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)
- Bottom-quartile procedures (Q25) price at 1.04× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 67% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.4×) services average 1.93× higher multiples than routine shoppable care (4.6×)
- Upper-quartile procedures (Q75 4.78×) jump +64% above the median procedure ratio (Q50 2.92×)
- Unnegotiated chargemaster list prices average 9.2× Medicare (14¢ 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 Cassia Regional Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,710 | unverified |
| Trauma team activation HCPCS Code: G0390 | $4,233 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,643 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,358 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,183 | 10.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,981 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,909 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,572 | 0.9× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,327 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,272 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,278 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,111 | 12.6× |
| CT scan, pelvis CPT Code: 72192 | $2,067 | 12.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,863 | 11.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,864 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,836 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,784 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,777 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,578 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,536 | 9.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,443 | unverified |
| Blood transfusion CPT Code: 36430 | $1,139 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,064 | unverified |
| X-ray, hip CPT Code: 73502 | $879 | unverified |
Audit a Bill or Quote at Cassia Regional Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $88
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $88).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Cassia Regional Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)
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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (211 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
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.