How many shoppable procedure prices are published for Bay Area Hospital?

Bay Area Hospital in Coos Bay, OR currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bay Area Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bay Area Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Bay Area Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Bay Area Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 144 Beds · rural Updated: 2026-02-23

Bay Area Hospital

1775 Thompson Road, Coos Bay, OR 97420 · 103 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness60

Price Logic67

Peer Alignment68

Clean Billing81

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.20× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 7,983), Bay Area Hospital commands a 1.20× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#21 of 40 in OR · 50th State Percentile#2,021 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 64% patient recommendation (63/100 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 (1.20× 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 (0.5×) & laboratory (1.5×) services average 1.08× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.49×) jump +33% above the median procedure ratio (Q50 1.12×)
Consolidated metro market (HHI 7,983) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.4× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 0.87× · Q50 1.12× · Q75 1.49×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.5× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 63/100Elevated

Procedure Prices at Bay Area Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$40,198	$34,447	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$36,562	$28,998	$19,087	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$38,896	$26,761	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,711	$11,632	$8,223	1.4×
C-section delivery (full package) CPT Code: `59510`	$5,717	$5,118	$2,975	1.7×
Vaginal delivery (full package) CPT Code: `59400`	$5,168	$4,615	$2,680	1.7×
Total hip replacement CPT Code: `27130`	$3,698	$2,885	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$3,694	$2,880	$13,523	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,376	$2,376	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,970	$1,797	$3,372	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$1,166	$1,157	$2,540	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,952	$1,063	$1,021	1.0×
Blood transfusion CPT Code: `36430`	$608	$608	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,151	$432	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,027	$443	$511	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,047	$410	$583	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,684	$312	$303	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$369	$337	$132	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$631	$295	$272	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,294	$295	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,245	$295	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,180	$295	$369	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$293	$299	$987	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$288	$288	$201	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$375	$256	$151	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$970	$221	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,156	$228	$258	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$205	$153	$87	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$272	$145	$86	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$242	$161	$110	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$295	$167	$123	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$266	$170	$148	1.1×
X-ray, hand CPT Code: `73130`	$181	$121	$93	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$228	$137	$123	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$348	$129	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$386	$133	$130	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$395	$136	$134	1.0×
CT scan, pelvis CPT Code: `72192`	$890	$142	$163	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$931	$142	$167	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$838	$136	$160	0.8×
CT scan, sinuses CPT Code: `70486`	$812	$136	$166	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$967	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$979	$137	$169	0.8×
X-ray, chest (two views) CPT Code: `71046`	$154	$151	$93	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$96	$125	$86	1.5×
X-ray, shoulder CPT Code: `73030`	$169	$130	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$138	$138	$64	unverified
Orthotic fitting and training CPT Code: `97760`	$81	$87	$51	1.7×
X-ray, lower back CPT Code: `72110`	$279	$80	$112	0.7×
Typhoid vaccine HCPCS Code: `90675`	$272	$272	$347	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$127	$127	$27	4.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$120	$120	$111	unverified
Drug screening test HCPCS Code: `G0480`	$134	$134	$116	unverified
Prosthetic fitting and training CPT Code: `97761`	$80	$77	$45	1.7×
Physical therapy (gait training) CPT Code: `97116`	$170	$55	$33	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$106	$66	$40	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$108	$62	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$55	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$97	$53	$34	1.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$93	$51	$33	1.5×
X-ray, hip CPT Code: `73502`	$209	$75	$93	0.8×
Blood test, vitamin D CPT Code: `82306`	$103	$46	$31	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$188	$63	$93	0.7×
X-ray, ankle CPT Code: `73610`	$166	$58	$93	0.6×
X-ray, foot CPT Code: `73630`	$164	$54	$92	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$73	$73	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$62	$62	$37	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$170	$61	$38	unverified
Flu vaccine injection HCPCS Code: `G0008`	$62	$62	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$62	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$62	$62	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$91	$63	$35	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$55	$27	$19	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$25	$18	1.4×
X-ray, chest (single view) CPT Code: `71045`	$120	$42	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$176	$47	$110	0.4×
Blood test, liver function panel CPT Code: `80076`	$110	$12	$9	1.3×
Hepatitis C antibody test CPT Code: `86803`	$102	$20	$15	1.3×
Blood test, lipase CPT Code: `83690`	$102	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$64	$9	$7	1.3×
Culture, bacterial CPT Code: `87070`	$96	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$49	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$6	$5	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$94	$24	$20	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$94	$19	$16	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$32	$29	$25	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$65	$16	$14	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$9	$8	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$81	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$80	$15	$14	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$65	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$83	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$61	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$50	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$50	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$44	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$35	$3	$3	1.0×
Blood antibody screen CPT Code: `86850`	$128	$17	$46	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$8	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$16	$6	unverified
Culture, blood CPT Code: `87040`	$184	$25	$11	unverified

Showing top 25 high-impact procedures of 103 total

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

Audit a Bill or Quote at Bay Area Hospital (Zero PHI Required)

CMS CCN: 380090

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $40,198

Insurer Median $34,447

1. Amount on Your Bill or Quote ($) Pre-filled with Bay Area 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 Save $13,399 Paying Cash

Self-Pay Cash Rate ($40,198) Beats Your Bill

Bay Area Hospital's published 45 CFR § 180 self-pay cash rate is $40,198 (vs. $34,447 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$34,165 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($53,597) is $34,165 above the denoised Fair BaseRate ($19,432) and 3.8× the $14,044 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 Bay Area 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

CMS Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait160 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (1,073 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 Bay Area Hospital.

Price Index: 0.98× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-48.2%

Cigna

+70.3%

UnitedHealthcare

+115.9%

Blue Cross Blue Shield

+187.5%

Median Household Income$60,313U.S. Census ACS

Local Uninsured Share6.4%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 74/100 · Corroborated CMS CCN 380090

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 380090) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-02-23 · 33.01 MB

Validated Rate Rows2,216 (CMS v3.0.0)

File Integrity DigestVerified · CCN 380090

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