How many shoppable procedure prices are published for Valor Health?

Valor Health in Emmett, ID currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Government - Local 13 Beds · rural Updated: 2026-06-12

Valor Health

1202 East Locust Street, Emmett, ID 83617 · 101 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

44/100 · Quarantined

44/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness51

Price Logic16

Peer Alignment74

Clean Billing48

Real Cash Discount40

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Valor Health prices shoppable and inpatient services (5.4× to 4.9× Medicare, divergence 0.91×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in IDU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (40/100 Cash Honesty)
CMS clinical safety score (85/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (5.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 2,410) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

5.4× Medicare

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

Back-Door Captive & ER0.91× Divergence

4.9× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

5.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.7× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

7.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

7.8× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

8.0× MedicareWatchout

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

1.5× MedicareGood

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

26% Cash Edge · 40/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Valor Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$28,602	$28,602	$13,523	2.1×
Total hip replacement CPT Code: `27130`	$21,630	$21,630	$13,413	1.6×
C-section delivery (full package) CPT Code: `59510`	$6,980	$6,980	$2,975	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,311	$4,311	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,564	$2,564	$338	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,528	$2,528	$258	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,406	$2,406	$448	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,340	$2,340	$1,021	2.3×
Colonoscopy with biopsy CPT Code: `45380`	$2,340	$2,340	$1,256	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$2,266	$2,266	$2,680	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,175	$2,175	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,190	$2,190	$168	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,015	$2,015	$981	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,940	$1,940	$343	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,899	$1,899	$242	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,914	$1,914	$369	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,884	$1,884	$167	unverified
Blood transfusion CPT Code: `36430`	$1,854	$1,854	$498	3.7×
Bunion correction surgery CPT Code: `28296`	$1,778	$1,778	$3,446	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,731	$1,731	$160	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,628	$1,628	$272	6.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,648	$1,648	$6,109	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,499	$1,499	$987	1.5×
CT scan, pelvis CPT Code: `72192`	$1,440	$1,440	$163	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,347	$1,347	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,304	$1,304	$3,629	0.4×
CT scan, sinuses CPT Code: `70486`	$1,271	$1,271	$166	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,260	$1,260	$303	unverified
Breast lump removal CPT Code: `19120`	$1,224	$1,224	$3,875	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$870	$870	$855	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$745	$745	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$601	$601	$130	unverified
X-ray, lower back CPT Code: `72110`	$565	$565	$112	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$561	$561	$126	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$480	$480	$132	unverified
X-ray, chest (two views) CPT Code: `71046`	$432	$432	$93	unverified
X-ray, ankle CPT Code: `73610`	$453	$453	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$376	$376	$93	unverified
X-ray, shoulder CPT Code: `73030`	$395	$395	$92	unverified
X-ray, hand CPT Code: `73130`	$395	$395	$93	unverified
X-ray, foot CPT Code: `73630`	$395	$395	$92	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$331	$331	$185	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$314	$314	$181	1.7×
X-ray, chest (single view) CPT Code: `71045`	$313	$313	$92	unverified
X-ray, hip CPT Code: `73502`	$330	$330	$93	unverified
X-ray, pelvis CPT Code: `72170`	$302	$302	$110	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$270	$270	$86	3.1×
New patient office visit (30-44 min) CPT Code: `99203`	$264	$264	$110	2.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$262	$262	$123	2.1×
Neurobehavioral status check CPT Code: `96116`	$273	$273	$231	1.2×
Family therapy session CPT Code: `90847`	$229	$229	$173	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$215	$215	$166	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$181	$181	$87	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$112	$112	$35	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$106	$106	$34	3.1×
Occupational therapy (self-care training) CPT Code: `97535`	$117	$117	$38	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$115	$115	$38	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$118	$118	$40	3.0×
Orthotic fitting and training CPT Code: `97760`	$110	$110	$51	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$131	$131	$64	2.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$102	$102	$33	3.1×
Group therapy session CPT Code: `90853`	$126	$126	$100	1.3×
Physical therapy (gait training) CPT Code: `97116`	$99	$99	$33	3.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$107	$107	$86	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$104	$104	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$854	$854	$347	unverified
Blood test, vitamin D CPT Code: `82306`	$227	$227	$31	7.3×
Drug screening test HCPCS Code: `G0480`	$174	$174	$116	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$166	$166	$56	unverified
Culture, blood CPT Code: `87040`	$117	$117	$11	10.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$120	$120	$14	8.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$89	$89	$5	17.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$85	$85	$6	14.2×
Blood test, vitamin B12 CPT Code: `82607`	$109	$109	$16	6.8×
Blood test, lipase CPT Code: `83690`	$78	$78	$7	11.1×
Culture, bacterial CPT Code: `87070`	$95	$95	$9	10.6×
Blood test, magnesium CPT Code: `83735`	$67	$67	$7	9.6×
Blood test, amylase CPT Code: `82150`	$63	$63	$7	9.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$70	$8	8.8×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$78	$9	8.7×
Blood test, liver function panel CPT Code: `80076`	$78	$78	$9	8.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$86	$86	$11	7.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	6.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$74	$74	$14	5.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$62	$62	$14	4.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$79	$79	$18	4.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$82	$82	$19	4.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$82	$82	$20	4.1×
Blood antibody screen CPT Code: `86850`	$67	$67	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$31	$31	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$31	$49	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$56	$56	$3	unverified
Mental health services (assessment) HCPCS Code: `H0031`	$24	$24	$140	0.2×
Blood test, calcium CPT Code: `82310`	$42	$42	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	unverified
Blood test, potassium CPT Code: `84132`	$42	$42	$5	unverified
Blood test, sodium CPT Code: `84295`	$42	$42	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$42	$42	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$33	$33	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$23	$5	unverified

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 53.1%

Audit a Bill or Quote at Valor Health (Zero PHI Required)

CMS CCN: 131318

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $28,602

Insurer Median $28,602

1. Amount on Your Bill or Quote ($) Pre-filled with Valor Health’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: $15,978 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,978

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.1% of gross = $15,978).

Step 2 · Cash vs. Insurance Arbitrage Save $1,505 Paying Cash

Self-Pay Cash Rate ($28,602) Beats Your Bill

Valor Health's published 45 CFR § 180 self-pay cash rate is $28,602 (vs. $28,602 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$16,584 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($30,107) is $16,584 above the denoised Fair BaseRate ($13,523) and 2.3× the $13,117 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) 501(c)(3) Nonprofit Hospital

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

EIN: 826000422

Filing Period: 199610

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 (53.1% 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

Safety Composite85/100

Median ER Wait102 min

Left ER Before Seen1%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Valor Health. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-19·warning_notice
Warning Notice
Recorded
2023-07-31·administrative_or_closure
Closure Notice
Recorded
2023-06-08·cap_corrective_action
CAP Request
Recorded
2023-02-28·warning_notice
Warning Notice
Recorded

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Valor Health.

Price Index: 1.15× regional baseline

Quality: 56/100 CMS composite

Median Household Income$66,245U.S. Census ACS

Local Uninsured Share11.9%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 44/100 · Quarantined CMS CCN 131318 EIN 826000422

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 131318) ↗ Verify IRS Form 990 (EIN 826000422) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-12

Validated Rate Rows619 (CMS v3.0.0)

File Integrity DigestVerified · CCN 131318

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