Lower Umpqua Hospital District
600 Ranch Road, Reedsport, OR 97467 · 108 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are 59% below the fair benchmark (0.41×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Lower Umpqua Hospital District maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.39× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.50× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 59% below peer Fair BaseRate (0.41×)
- Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 77% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (69.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.41× 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 0.39× Fair BaseRate (0.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 0.50×) jump +28% above the median procedure ratio (Q50 0.39×)
- Consolidated metro market (HHI 9,388) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Lower Umpqua Hospital District
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.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,985 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $15,102 | 1.8× |
| Total knee replacement CPT Code: 27447 | $3,551 | 0.3× |
| Rabies immune globulin HCPCS Code: 90375 | $3,349 | 10.4× |
| Trauma team activation HCPCS Code: G0390 | $2,512 | 1.7× |
| Total hip replacement CPT Code: 27130 | $2,190 | 0.2× |
| Blood transfusion CPT Code: 36430 | $1,409 | 2.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,196 | 1.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,068 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $964 | 1.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $884 | 0.3× |
| Inguinal hernia repair CPT Code: 49505 | $860 | 0.2× |
| Breast lump removal CPT Code: 19120 | $694 | 0.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $283 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $306 | 0.2× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $198 | 3.1× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $219 | 1.2× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $223 | 1.2× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $216 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $213 | 0.2× |
| Family therapy session CPT Code: 90847 | $181 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $151 | 1.6× |
| X-ray, chest (two views) CPT Code: 71046 | $147 | 1.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $169 | 0.3× |
| Speech therapy (language evaluation) CPT Code: 92507 | $135 | 1.6× |
Audit a Bill or Quote at Lower Umpqua Hospital District (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $23,217
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (69.7% of gross = $23,217).
Self-Pay Cash Rate ($17,985) Beats Your Bill
Lower Umpqua Hospital District's published 45 CFR § 180 self-pay cash rate is $17,985 (vs. $17,985 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($33,305) is $14,218 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (69.7% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lower Umpqua Hospital District. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-04-23·administrative_or_closure
Closure Notice
Recorded - 2024-03-22·warning_notice
Warning Notice
Recorded - 2023-12-07·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (45 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lower Umpqua Hospital District.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.