Providence Hood River Memorial Hospital
810 12Th Street, Hood River, OR 97031 · 109 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Providence Hood River Memorial Hospital concentrates commercial margin in outpatient surgical suites (2.7× Medicare) and specialty drug infusions (4.8× Medicare) relative to routine diagnostics (7.0×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
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 (98/100 Cash Honesty)
- 4-Star CMS clinical rating with 82% 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 (23.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
- Captive ER (5.5×) & laboratory (6.6×) services average 1.14× higher multiples than routine shoppable care (5.0×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Consolidated metro market (HHI 10,000) 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 Providence Hood River Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $7,766 | 2.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $6,991 | 2.6× |
| Bunion correction surgery CPT Code: 28296 | $7,001 | 2.0× |
| Trauma team activation HCPCS Code: G0390 | $5,177 | 3.6× |
| Inguinal hernia repair CPT Code: 49505 | $4,292 | 1.2× |
| Total hip replacement CPT Code: 27130 | $3,737 | 0.3× |
| Total knee replacement CPT Code: 27447 | $3,733 | 0.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,136 | 6.1× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $2,371 | 15.7× |
| Rabies immune globulin HCPCS Code: 90375 | $2,241 | 7.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,125 | 4.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,973 | 5.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,926 | 0.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,802 | 5.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,754 | 10.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,706 | 4.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,598 | 0.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,519 | 5.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,517 | 5.0× |
| CT scan, sinuses CPT Code: 70486 | $1,458 | 8.8× |
| Breast lump removal CPT Code: 19120 | $1,370 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,304 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,249 | 5.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,231 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,137 | 6.8× |
Audit a Bill or Quote at Providence Hood River Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,473
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.9% of gross = $2,473).
Self-Pay Cash Rate ($7,766) Beats Your Bill
Providence Hood River Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $7,766 (vs. $7,766 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($10,354) is $7,379 above the denoised Fair BaseRate ($2,975) and 4.2× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (23.9% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Providence Hood River Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-07·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (282 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 Providence Hood River Memorial Hospital.
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.