How many shoppable procedure prices are published for Incline Village Community Hospital?

Incline Village Community Hospital in Incline Village, NV currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Incline Village Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Incline Village Community Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 4 Beds · rural Updated: 2026-06-08

Incline Village Community Hospital

880 Alder Street, Incline Village, NV 89451 · 115 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.84×vs. Fair Market Price

Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness85

Price Logic46

Peer Alignment73

Clean Billing77

Real Cash Discount6

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Incline Village Community Hospital maintains disciplined commercial pricing across both elective shoppable care (1.0× Medicare) and captive emergency/ancillary departments (1.4× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.84× Fair BaseRate) without hidden ancillary cross-subsidization.

#6 of 26 in NV · 19th State Percentile#394 of 3,385 in U.S. · 11th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
Self-pay cash beats commercial insurance on 37% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (85/100 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)

Even at low-cost facilities (0.84× 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.
Captive ER (1.3×) & laboratory (2.4×) services average 1.40× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.18×) jump +55% above the median procedure ratio (Q50 0.76×)
Consolidated metro market (HHI 4,242) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.40× Divergence

1.4× Medicare

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

Quantile Tail Spread+55% Upper Tail

Q25 0.40× · Q50 0.76× · Q75 1.18×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.8× MedicareGood

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

37% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Incline Village Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 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`	$9,194	$9,194	$13,523	0.7×
Total hip replacement CPT Code: `27130`	$8,831	$8,831	$13,413	0.7×
Rabies immune globulin HCPCS Code: `90375`	$8,386	$8,386	$322	unverified
Trauma team activation HCPCS Code: `G0390`	$6,190	$6,190	$1,453	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,204	$3,204	$6,109	0.5×
C-section delivery (full package) CPT Code: `59510`	$8,101	$2,891	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$7,308	$2,492	$2,680	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,094	$2,094	$151	unverified
Blood transfusion CPT Code: `36430`	$1,704	$1,704	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,325	$1,325	$855	1.5×
Cataract surgery with lens implant CPT Code: `66984`	$2,946	$701	$2,540	0.3×
Inguinal hernia repair CPT Code: `49505`	$3,334	$655	$3,629	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,367	$606	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$3,381	$603	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,693	$467	$1,021	0.5×
Breast lump removal CPT Code: `19120`	$1,854	$435	$3,875	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$780	$404	$201	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,079	$323	$448	0.7×
Care planning with family CPT Code: `90887`	$317	$317	$107	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,474	$288	$511	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$637	$245	$583	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,541	$266	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,138	$247	$1,256	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$371	$204	$86	2.4×
CT scan, sinuses CPT Code: `70486`	$1,322	$218	$166	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$418	$222	$64	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$277	$188	$35	5.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,338	$193	$169	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,349	$189	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,338	$183	$168	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,221	$200	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,447	$210	$303	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$144	$144	$38	3.8×
Orthotic fitting and training CPT Code: `97760`	$159	$159	$51	3.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$519	$166	$148	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$542	$148	$185	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,976	$168	$242	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$991	$170	$272	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,374	$181	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,373	$181	$343	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,355	$184	$369	0.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$124	$124	$33	3.8×
Screening mammogram (both breasts) CPT Code: `77067`	$407	$138	$123	1.1×
CT scan, pelvis CPT Code: `72192`	$1,350	$146	$163	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$751	$154	$987	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$589	$103	$87	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$190	$113	$123	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$713	$121	$134	0.9×
Psychological testing evaluation CPT Code: `96136`	$184	$115	$128	0.9×
Family therapy session CPT Code: `90847`	$456	$132	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$607	$137	$181	0.8×
Ultrasound, pelvis CPT Code: `76856`	$697	$103	$130	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,315	$121	$160	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$188	$84	$110	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$679	$98	$132	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$682	$91	$126	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$362	$91	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	$384	$93	$231	0.4×
Psychological testing by technician CPT Code: `96138`	$134	$86	$395	0.2×
Typhoid vaccine HCPCS Code: `90675`	$1,177	$1,177	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$481	$313	$203	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$305	$305	$18	unverified
Culture, blood CPT Code: `87040`	$278	$278	$11	25.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$278	$278	$14	19.9×
Hepatitis C antibody test CPT Code: `86803`	$269	$269	$15	17.9×
Blood test, vitamin D CPT Code: `82306`	$294	$294	$31	9.5×
Blood test, vitamin B12 CPT Code: `82607`	$286	$286	$16	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$422	$254	$111	2.3×
Pneumococcal vaccine HCPCS Code: `90732`	$375	$251	$140	1.8×
Culture, bacterial CPT Code: `87070`	$223	$223	$9	24.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$202	$202	$11	18.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$208	$208	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$168	$168	$9	18.7×
Blood test, basic metabolic panel CPT Code: `80048`	$163	$163	$9	18.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$183	$183	$10	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$105	$105	$5	21.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$126	$126	$6	21.0×
Blood test, lipase CPT Code: `83690`	$141	$141	$7	20.1×
Blood test, magnesium CPT Code: `83735`	$137	$137	$7	19.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$148	$148	$8	18.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$123	$123	$19	6.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$138	$138	$49	2.8×
Colorectal cancer screening HCPCS Code: `G0010`	$138	$138	$49	2.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$211	$127	$56	2.3×
Flu vaccine injection HCPCS Code: `G0008`	$138	$138	$48	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$83	$83	$4	20.8×
Blood test, potassium CPT Code: `84132`	$97	$97	$5	19.4×
Blood test, sodium CPT Code: `84295`	$95	$95	$5	19.0×
Blood antibody screen CPT Code: `86850`	$210	$108	$46	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$59	$14	4.2×
Physical therapy (manual therapy) CPT Code: `97140`	$129	$77	$34	2.3×
Hepatitis B vaccine HCPCS Code: `90744`	$127	$81	$37	2.2×
Blood test, calcium CPT Code: `82310`	$100	$100	$5	unverified
Physical therapy (gait training) CPT Code: `97116`	$123	$68	$33	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$138	$77	$38	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$144	$79	$40	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$107	$60	$38	1.6×
Blood test, hemoglobin CPT Code: `85018`	$33	$33	$3	11.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$53	$53	$5	10.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$134	$74	$35	2.1×
Speech therapy (group session) CPT Code: `92508`	$76	$49	$27	1.8×
X-ray, hip CPT Code: `73502`	$308	$42	$93	0.5×
X-ray, lower back CPT Code: `72110`	$505	$50	$112	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$70	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$68	$68	$4	unverified
X-ray, hand CPT Code: `73130`	$335	$37	$93	0.4×
X-ray, ankle CPT Code: `73610`	$335	$36	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$339	$35	$92	0.4×
X-ray, foot CPT Code: `73630`	$333	$35	$92	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$316	$33	$93	0.4×
Blood test, amylase CPT Code: `82150`	$69	$6	$7	0.9×
X-ray, chest (two views) CPT Code: `71046`	$291	$30	$93	0.3×
Group therapy session CPT Code: `90853`	$107	$28	$100	0.3×
X-ray, pelvis CPT Code: `72170`	$298	$27	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	$265	$19	$92	0.2×

Showing top 25 high-impact procedures of 115 total

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

Audit a Bill or Quote at Incline Village Community Hospital (Zero PHI Required)

CMS CCN: 291301

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $9,194

Insurer Median $9,194

1. Amount on Your Bill or Quote ($) Pre-filled with Incline Village Community Hospital’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 Published Cash: $9,194

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Incline Village Community Hospital's published 45 CFR § 180 self-pay cash rate is $9,194 (vs. $9,194 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,523 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).

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 Incline Village Community 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 Composite85/100

Median ER Wait83 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 Incline Village Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-13·administrative_or_closure
Closure Notice
Recorded
2025-08-06·cap_corrective_action
CAP Request
Recorded
2023-07-05·administrative_or_closure
Closure Notice
Recorded
2023-03-17·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 Incline Village Community Hospital.

Price Index: 1.06× regional baseline

Quality: 56/100 CMS composite

Median Household Income$85,600U.S. Census ACS

Local Uninsured Share9.7%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 58/100 · Caution CMS CCN 291301

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 291301) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-08 · 85.67 MB

Validated Rate Rows2,602 (CMS v3.0.0)

File Integrity Digest3f9cd5261289ba636604…

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