How many shoppable procedure prices are published for Claiborne Memorial Medical Center?

Claiborne Memorial Medical Center in Homer, LA currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Claiborne Memorial Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Claiborne Memorial Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Claiborne Memorial Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Claiborne Memorial Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 37 Beds · rural Updated: 2025-08-12

Claiborne Memorial Medical Center

620 East College Street, Homer, LA 71040 · 108 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 19% of the Time

File Completeness56

Price Logic79

Peer Alignment75

Clean Billing85

Real Cash Discount10

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Claiborne Memorial Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.5× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#25 of 101 in LA · 23rd State Percentile#632 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 19% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 75% patient recommendation (69/100 safety score)
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 (0.90× 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 0.92× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.8× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 5.2× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.60× Divergence

0.9× Medicare

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

Quantile Tail Spread+9% Upper Tail

Q25 0.69× · Q50 0.92× · Q75 1.00×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

1.8× MedicareGood

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

19% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 69/100Fair

Procedure Prices at Claiborne Memorial Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 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`	—	$20,517	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,045	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,535	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,028	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,188	$8,223	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,642	$1,842	$511	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,244	$963	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,516	$906	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,800	$736	$448	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,109	$708	$1,021	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$1,200	$631	$855	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,400	$651	$1,256	0.5×
Breast lump removal CPT Code: `19120`	$3,300	$648	$3,875	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,000	$643	$258	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,587	$582	$981	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,675	$528	$242	2.2×
CT scan, pelvis CPT Code: `72192`	$1,134	$540	$163	unverified
CT scan, sinuses CPT Code: `70486`	$1,044	$461	$166	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,600	$467	$303	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,200	$486	$987	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,482	$430	$160	2.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,244	$448	$338	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$394	$394	$166	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$394	$394	$181	2.2×
Residential mental health treatment HCPCS Code: `H2036`	$403	$403	$406	1.0×
Blood transfusion CPT Code: `36430`	$816	$414	$498	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,166	$371	$169	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,445	$390	$583	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,528	$363	$167	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,154	$361	$168	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$732	$355	$272	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$639	$229	$134	1.7×
Ultrasound, pelvis CPT Code: `76856`	$454	$185	$130	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$420	$166	$126	1.3×
Group therapy session CPT Code: `90853`	$236	$189	$100	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$336	$163	$132	1.2×
X-ray, lower back CPT Code: `72110`	$336	$98	$112	0.9×
Family therapy session CPT Code: `90847`	$122	$122	$173	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$219	$88	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$285	$96	$148	0.6×
Behavioral health assessment HCPCS Code: `H0001`	$100	$100	$157	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$275	$103	$185	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,526	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$269	$199	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$326	$147	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$156	$102	$111	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$65	$50	$38	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$170	$70	$86	0.8×
X-ray, chest (two views) CPT Code: `71046`	$289	$72	$93	0.8×
X-ray, chest (single view) CPT Code: `71045`	$182	$69	$92	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$239	$66	$93	0.7×
X-ray, hip CPT Code: `73502`	$239	$66	$93	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$202	$60	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$191	$75	$110	0.7×
X-ray, shoulder CPT Code: `73030`	$262	$61	$92	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$183	$79	$123	0.6×
X-ray, foot CPT Code: `73630`	$241	$57	$92	0.6×
X-ray, hand CPT Code: `73130`	$239	$57	$93	0.6×
X-ray, ankle CPT Code: `73610`	$241	$57	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$336	$64	$110	0.6×
Drug screening test HCPCS Code: `G0480`	$60	$60	$116	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$151	$11	$11	1.0×
Blood test, magnesium CPT Code: `83735`	$66	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$122	$30	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$76	$19	$20	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$76	$33	$37	0.9×
Physical therapy (gait training) CPT Code: `97116`	$86	$28	$33	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$41	$49	0.8×
Orthotic fitting and training CPT Code: `97760`	$115	$42	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$45	$37	$45	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$28	$35	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$122	$32	$40	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$43	$56	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$50	$50	$86	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$42	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$92	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$10	$10	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$88	$33	$64	0.5×
Blood test, lipase CPT Code: `83690`	$78	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$21	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$34	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$107	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$126	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$76	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$83	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$66	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$93	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$133	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$121	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$132	$8	$9	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$81	$32	$39	0.8×
Blood test, amylase CPT Code: `82150`	$56	$6	$7	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$150	$30	$201	0.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$4	$5	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$35	$11	$14	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$74	$26	$34	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$128	$29	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$27	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$34	$15	$48	0.3×
Blood antibody screen CPT Code: `86850`	$148	$10	$46	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$4	$4	$25	unverified

Showing top 25 high-impact procedures of 108 total

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

Audit a Bill or Quote at Claiborne Memorial Medical Center (Zero PHI Required)

CMS CCN: 190114

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $20,517

1. Amount on Your Bill or Quote ($) Pre-filled with Claiborne Memorial Medical 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Claiborne Memorial Medical Center'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 +$18,466 Above Fair BaseRate

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

Your bill ($49,241) is $18,466 above the denoised Fair BaseRate ($30,775) and 2.1× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Claiborne Memorial Medical 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

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait111 min

Left ER Before Seen2%

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 Infectionworse

CMS Price Transparency Administrative Enforcement Log

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

2025-02-28·administrative_or_closure
Closure Notice
Recorded
2024-11-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (134 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 Claiborne Memorial Medical Center.

Price Index: 0.90× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Us Dept of Labor

-56.4%

Health Net

-53.8%

Kaiser Permanente

-50.2%

Ambetter (Centene)

-45.5%

Aarp

+74.3%

John Hancock

+75.8%

Median Household Income$31,784U.S. Census ACS

Local Uninsured Share4.4%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 62/100 · Caution CMS CCN 190114

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 190114) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-08-12

Validated Rate Rows15,487 (CMS v2.0.0)

File Integrity DigestVerified · CCN 190114

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