How many shoppable procedure prices are published for Avita Ontario?

Avita Ontario in Ontario, OH currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Avita Ontario's CMS Care Compare overall star rating?

CMS Care Compare assigns Avita Ontario an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 49 Beds · urban Updated: 3/23/2026

Avita Ontario

715 Richland Mall, Ontario, OH 44906 · 97 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

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.

20/100 · Quarantined

20/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness15

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount97

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Avita Ontario concentrates commercial margin in outpatient surgical suites (5.7× Medicare) and specialty drug infusions (1.2× Medicare) relative to routine diagnostics (9.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in OHU.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 0% of shoppable procedures (97/100 Cash Honesty)
4-Star CMS clinical rating with 85% patient recommendation (75/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 5.7× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (7.3× 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 7,500) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

7.3× Medicare

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

Back-Door Captive & ER0.89× Divergence

6.5× 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

7.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

5.7× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

9.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

10.6× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

12.3× MedicareWatchout

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

1.2× MedicareGood

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

0% Cash Edge · 97/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 75/100Fair

Procedure Prices at Avita Ontario

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$82,952	$82,952	$13,523	unverified
Total hip replacement CPT Code: `27130`	$68,594	$68,594	$13,413	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$38,079	$38,079	$3,372	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$36,778	$36,778	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	$31,643	$31,643	$3,629	unverified
Bunion correction surgery CPT Code: `28296`	$25,597	$25,597	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	$7,484	$7,484	$2,540	unverified
Breast lump removal CPT Code: `19120`	$6,355	$6,355	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,436	$4,436	$1,021	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,410	$4,410	$1,256	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,017	$4,017	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$4,006	$4,006	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,980	$3,980	$448	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,643	$3,643	$369	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$3,516	$3,516	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,353	$3,353	$981	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,313	$3,313	$343	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,698	$2,698	$168	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,700	$2,700	$303	unverified
CT scan, sinuses CPT Code: `70486`	$2,493	$2,493	$166	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,248	$2,248	$258	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,122	$2,122	$167	unverified
CT scan, pelvis CPT Code: `72192`	$2,049	$2,049	$163	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,957	$1,957	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,681	$1,681	$160	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,678	$1,678	$583	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,532	$1,532	$272	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,517	$1,517	$855	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,460	$1,460	$242	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,085	$1,085	$134	unverified
X-ray, ankle CPT Code: `73610`	$902	$902	$93	unverified
X-ray, foot CPT Code: `73630`	$849	$849	$92	unverified
Blood transfusion CPT Code: `36430`	$783	$783	$498	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$789	$789	$126	unverified
X-ray, lower back CPT Code: `72110`	$660	$660	$112	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$663	$663	$148	unverified
Ultrasound, pelvis CPT Code: `76856`	$624	$624	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$545	$545	$132	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$499	$499	$93	unverified
X-ray, shoulder CPT Code: `73030`	$392	$392	$92	unverified
X-ray, hand CPT Code: `73130`	$364	$364	$93	unverified
X-ray, hip CPT Code: `73502`	$308	$308	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$275	$275	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$288	$288	$93	unverified
X-ray, pelvis CPT Code: `72170`	$263	$263	$110	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$218	$218	$86	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$182	$182	$123	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$199	$199	$34	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$166	$166	$64	unverified
Orthotic fitting and training CPT Code: `97760`	$139	$139	$51	2.7×
Speech therapy (group session) CPT Code: `92508`	$115	$115	$27	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$126	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$123	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$145	$145	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$109	$109	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$116	$40	unverified
Prosthetic fitting and training CPT Code: `97761`	$114	$114	$45	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$88	$88	$38	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$108	$108	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$108	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$128	$128	$123	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$95	$95	$35	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$81	$81	$14	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$514	$514	$140	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$376	$376	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$268	$268	$9	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$199	$199	$9	unverified
Blood test, vitamin B12 CPT Code: `82607`	$184	$184	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$208	$208	$18	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$166	$166	$19	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$136	$136	$10	unverified
Culture, blood CPT Code: `87040`	$120	$120	$11	unverified
Culture, bacterial CPT Code: `87070`	$123	$123	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$87	$14	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$105	$105	$8	unverified
Blood antibody screen CPT Code: `86850`	$109	$109	$46	unverified
Drug screening test HCPCS Code: `G0480`	$81	$81	$116	0.7×
Blood test, amylase CPT Code: `82150`	$77	$77	$7	unverified
Blood test, vitamin D CPT Code: `82306`	$92	$92	$31	unverified
Blood test, lipase CPT Code: `83690`	$78	$78	$7	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$52	$52	$86	0.6×
Blood test, magnesium CPT Code: `83735`	$70	$70	$7	unverified
Hepatitis C antibody test CPT Code: `86803`	$90	$90	$15	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$43	$3	unverified
Blood test, calcium CPT Code: `82310`	$42	$42	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$48	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$66	$66	$6	unverified
Blood test, potassium CPT Code: `84132`	$31	$31	$5	unverified
Blood test, sodium CPT Code: `84295`	$27	$27	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$36	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$37	$37	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$50	$50	$5	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$48	$48	$201	unverified
Flu vaccine injection HCPCS Code: `G0008`	$21	$21	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$21	$21	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$21	$21	$49	unverified

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 13.4%

Audit a Bill or Quote at Avita Ontario (Zero PHI Required)

CMS CCN: 360365

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $82,952

Insurer Median $82,952

1. Amount on Your Bill or Quote ($) Pre-filled with Avita Ontario’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: $13,038 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,038

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.4% of gross = $13,038).

Step 2 · Cash vs. Insurance Arbitrage Save $14,639 Paying Cash

Self-Pay Cash Rate ($82,952) Beats Your Bill

Avita Ontario's published 45 CFR § 180 self-pay cash rate is $82,952 (vs. $82,952 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$84,068 Above Fair BaseRate

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

Your bill ($97,591) is $84,068 above the denoised Fair BaseRate ($13,523) and 7.4× 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)

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: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (13.4% 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

CMS Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait138 min

Left ER Before Seen1%

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 Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2026-04-09·administrative_or_closure
Met Requirements
Recorded
2025-11-14·administrative_or_closure
Closure Notice
Recorded
2025-09-08·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (261 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 Pareto Frontier (Price + Quality)

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

Price Index: 1.00× regional baseline

Quality: 72/100 CMS composite

Median Household Income$57,649U.S. Census ACS

Local Uninsured Share6.9%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 20/100 · Quarantined CMS CCN 360365

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 360365) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/23/2026

Validated Rate Rows0 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360365

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