St Charles Madras
470 Ne A Street, Madras, OR 97741 · 103 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are +34% above the fair benchmark (1.34×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
St Charles Madras prices routine shoppable procedures at 1.6× Medicare (median 1.16× Fair BaseRate) while upper-quartile commercial rates jump +56% to 1.81× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 45% of shoppable procedures (98/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 76% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (39.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 1.16× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.81×) jump +56% above the median procedure ratio (Q50 1.16×)
- 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 St Charles Madras
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.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $22,398 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $16,997 | 2.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $11,624 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $5,725 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,975 | 6.1× |
| Trauma team activation HCPCS Code: G0390 | $1,795 | 1.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,502 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,301 | unverified |
| Blood transfusion CPT Code: 36430 | $1,050 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $788 | 2.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $711 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $568 | 2.1× |
| Family therapy session CPT Code: 90847 | $522 | 3.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $506 | 1.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $495 | 1.0× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $358 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $299 | 0.9× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $264 | 1.4× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $248 | 1.4× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $267 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $240 | 0.8× |
| Review of medical records for care CPT Code: 90889 | $214 | 1.9× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $221 | 1.8× |
| New patient office visit (30-44 min) CPT Code: 99203 | $186 | 1.7× |
| CT scan, sinuses CPT Code: 70486 | $206 | 1.2× |
Audit a Bill or Quote at St Charles Madras (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $11,143
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (39.8% of gross = $11,143).
Self-Pay Cash Rate ($22,398) Beats Your Bill
St Charles Madras's published 45 CFR § 180 self-pay cash rate is $22,398 (vs. $22,398 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 ($27,997) is $8,910 above the denoised Fair BaseRate ($19,087) and 2.0× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (39.8% 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)Source: CMS Hospital Care Compare (87 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 St Charles Madras.
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.