How many shoppable procedure prices are published for Beaver County Memorial Hospital?

Beaver County Memorial Hospital in Beaver, OK currently has 130 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Beaver County Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Beaver County Memorial 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 24 Beds · rural Updated: 2025-12-30

Beaver County Memorial Hospital

212 East 8Th Street, Beaver, OK 73932 · 130 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.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness56

Price Logic84

Peer Alignment67

Clean Billing77

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Beaver County Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.80× 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.

#10 of 81 in OK · 11th State Percentile#401 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 60% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 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)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.80× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.00×) jump +25% above the median procedure ratio (Q50 0.80×)
Unnegotiated chargemaster list prices average 6.0× Medicare (32¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER0.90× Divergence

0.9× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.65× · Q50 0.80× · 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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

1.7× MedicareGood

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

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Beaver County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,933	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,194	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,458	$17,936	1.0×
Total knee replacement CPT Code: `27447`	—	$10,521	$13,523	0.8×
Total hip replacement CPT Code: `27130`	—	$9,088	$13,413	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,530	$8,223	0.9×
Bunion correction surgery CPT Code: `28296`	—	$4,767	$3,446	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$4,057	$6,109	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$3,184	$3,629	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,555	$2,975	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,422	$3,372	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,310	$2,680	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,920	$2,540	0.8×
Breast lump removal CPT Code: `19120`	—	$1,480	$3,875	0.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,047	$1,256	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$860	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$846	$981	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$739	$1,021	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$592	$231	2.6×
Psychological testing by technician CPT Code: `96138`	—	$592	$395	1.5×
Psychological testing evaluation CPT Code: `96136`	—	$592	$128	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$513	$257	2.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$513	$269	1.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$513	$343	1.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$513	$364	1.4×
Residential mental health treatment HCPCS Code: `H2036`	—	$507	$406	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$498	$855	0.6×
Behavioral health day program HCPCS Code: `H2012`	—	$462	$100	4.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$465	$452	$583	0.8×
Blood transfusion CPT Code: `36430`	—	$389	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$388	$511	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$376	$336	$160	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$644	$336	$242	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$709	$336	$258	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$660	$336	$303	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,037	$336	$448	0.8×
Group therapy session CPT Code: `90853`	—	$243	$100	2.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$231	$140	1.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$231	$157	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$231	$185	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	—	$231	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$231	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$231	$369	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$166	$166	$110	1.5×
Care planning with family CPT Code: `90887`	—	$149	$107	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$159	$159	$123	1.3×
Ultrasound, pelvis CPT Code: `76856`	$192	$159	$130	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$283	$159	$134	1.2×
Behavioral health living support HCPCS Code: `H2019`	—	$125	$34	3.7×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$125	$88	1.4×
Family therapy session CPT Code: `90847`	—	$149	$173	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$141	$166	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$141	$181	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$322	$159	$272	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	—	$92	$65	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$107	$107	$87	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$202	$105	$126	0.8×
Review of medical records for care CPT Code: `90889`	—	$92	$114	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$189	$105	$132	0.8×
CT scan, pelvis CPT Code: `72192`	$376	$111	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$376	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$376	$111	$167	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$376	$111	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$376	$95	$168	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$111	$19	5.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$98	$98	$20	4.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$118	$203	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	$58	$14	4.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$30	$10	3.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$27	$14	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$45	$35	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$34	$27	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$34	$34	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$34	$35	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$34	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$34	$40	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$224	$56	$201	0.3×
Blood test, hemoglobin CPT Code: `85018`	—	$5	$3	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$25	$25	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
Culture, bacterial CPT Code: `87070`	$75	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	—	$27	$33	0.8×
Flu vaccine injection HCPCS Code: `G0008`	—	$38	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$38	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	—	$38	$49	0.8×
Prosthetic fitting and training CPT Code: `97761`	—	$34	$45	0.8×
X-ray, chest (single view) CPT Code: `71045`	$111	$54	$92	0.6×
X-ray, shoulder CPT Code: `73030`	$146	$54	$92	0.6×
X-ray, foot CPT Code: `73630`	$127	$54	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$146	$54	$93	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$146	$54	$93	0.6×
X-ray, hand CPT Code: `73130`	$127	$54	$93	0.6×
X-ray, hip CPT Code: `73502`	$146	$54	$93	0.6×
X-ray, ankle CPT Code: `73610`	$127	$54	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$146	$54	$110	0.5×
X-ray, lower back CPT Code: `72110`	$218	$54	$112	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	—	$45	$123	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$45	$148	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$4	$4	1.0×
Blood test, calcium CPT Code: `82310`	$29	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$29	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	—	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$49	$4	$5	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$62	$7	$9	0.8×
Culture, blood CPT Code: `87040`	$75	$8	$11	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$33	$10	$14	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	$27	$38	0.7×
Blood test, vitamin D CPT Code: `82306`	$87	$22	$31	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$45	$11	$16	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$25	$37	0.7×
Orthotic fitting and training CPT Code: `97760`	—	$34	$51	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$111	$2	$3	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$4	$6	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$25	$39	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$53	$7	$11	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$29	$5	$8	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$42	$11	$18	0.6×
Hepatitis C antibody test CPT Code: `86803`	$88	$9	$15	0.6×
Blood test, amylase CPT Code: `82150`	$62	$4	$7	0.6×
Blood test, lipase CPT Code: `83690`	$62	$4	$7	0.6×
Blood test, magnesium CPT Code: `83735`	$55	$4	$7	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$25	$56	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$163	$25	$64	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$25	$111	0.2×
Blood antibody screen CPT Code: `86850`	—	$3	$46	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$26	$26	$86	unverified

Showing top 25 high-impact procedures of 130 total

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

Audit a Bill or Quote at Beaver County Memorial Hospital (Zero PHI Required)

CMS CCN: 371322

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $18,933

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Beaver County Memorial Hospital'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 +$26,352 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($45,439) is $26,352 above the denoised Fair BaseRate ($19,087) and 3.2× the $14,117 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Beaver County Memorial 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 Composite69/100

Median ER Wait88 min

Left ER Before Seen1%

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-08-12·administrative_or_closure
Closure Notice
Recorded
2025-07-31·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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Beaver County Memorial Hospital.

Price Index: 0.78× regional baseline

Quality: 56/100 CMS composite

Median Household Income$64,266U.S. Census ACS

Local Uninsured Share15.4%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 76/100 · Corroborated CMS CCN 371322

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 371322) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-30

Validated Rate Rows1,184 (CMS v3.0.0)

File Integrity DigestVerified · CCN 371322

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