How many shoppable procedure prices are published for Wallowa Memorial Hospital?

Wallowa Memorial Hospital in Enterprise, OR currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Wallowa Memorial Hospital's median negotiated commercial rate is 0.5× the regionally adjusted fair BaseRate benchmark.

What is Wallowa Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Wallowa Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 23 Beds · rural Updated: 2026-07-09

Wallowa Memorial Hospital

601 Medical Parkway, Enterprise, OR 97828 · 107 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.45×vs. Fair Market Price

Typical commercial prices here are 55% below the fair benchmark (0.45×) after accounting for local nurse/doctor wages and patient complexity.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness61

Price Logic87

Peer Alignment48

Clean Billing49

Real Cash Discount7

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.45× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Wallowa Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.34× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.78× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 40 in OR · 5th State Percentile#37 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 55% below peer Fair BaseRate (0.45×)
Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 78% 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)

Even at low-cost facilities (0.45× 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 (0.7×) & laboratory (2.6×) services average 1.60× higher multiples than routine shoppable care (0.5×)
Upper-quartile procedures (Q75 0.78×) jump +129% above the median procedure ratio (Q50 0.34×)
Consolidated metro market (HHI 3,135) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.5× Medicare

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

Back-Door Captive & ER1.60× Divergence

0.8× Medicare

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

Quantile Tail Spread+129% Upper Tail

Q25 0.13× · Q50 0.34× · Q75 0.78×

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

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

1.1× MedicareGood

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

11% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Wallowa Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	$133,218	$133,218	$19,087	7.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$114,688	$114,688	$8,223	13.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,470	$4,470	$448	10.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,191	$4,191	$511	8.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,800	$3,800	$303	12.5×
Total knee replacement CPT Code: `27447`	$3,426	$3,426	$13,523	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$3,241	$3,241	$338	9.6×
Total hip replacement CPT Code: `27130`	$3,257	$3,257	$13,413	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$2,962	$2,962	$343	8.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,879	$2,879	$369	7.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,713	$2,713	$583	4.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,607	$2,607	$258	10.1×
CT scan, chest (no contrast) CPT Code: `71250`	$2,032	$2,032	$167	12.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,040	$2,040	$169	12.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,956	$1,956	$160	12.2×
CT scan, pelvis CPT Code: `72192`	$1,967	$1,967	$163	12.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,951	$1,951	$242	8.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,900	$1,900	$168	11.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,764	$1,764	$6,109	0.3×
CT scan, sinuses CPT Code: `70486`	$1,481	$1,481	$166	8.9×
C-section delivery (full package) CPT Code: `59510`	$7,210	$1,436	$2,975	0.5×
Breast lump removal CPT Code: `19120`	$1,397	$1,397	$3,875	0.4×
Vaginal delivery (full package) CPT Code: `59400`	$6,484	$1,308	$2,680	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,030	$1,030	$272	3.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$857	$857	$134	6.4×
Ultrasound, pelvis CPT Code: `76856`	$810	$810	$130	6.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$778	$778	$86	9.0×
X-ray, lower back CPT Code: `72110`	$617	$617	$112	5.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$622	$622	$132	4.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$585	$585	$126	4.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$532	$532	$148	3.6×
X-ray, hip CPT Code: `73502`	$447	$447	$93	4.8×
X-ray, shoulder CPT Code: `73030`	$420	$420	$92	4.6×
X-ray, chest (two views) CPT Code: `71046`	$403	$403	$93	4.3×
Screening mammogram (both breasts) CPT Code: `77067`	$403	$403	$123	3.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$720	$413	$3,372	0.1×
Inguinal hernia repair CPT Code: `49505`	$1,406	$418	$3,629	0.1×
Speech therapy (language evaluation) CPT Code: `92507`	$380	$380	$86	4.4×
X-ray, foot CPT Code: `73630`	$376	$376	$92	4.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$378	$378	$93	4.1×
X-ray, hand CPT Code: `73130`	$376	$376	$93	4.0×
X-ray, ankle CPT Code: `73610`	$376	$376	$93	4.0×
X-ray, chest (single view) CPT Code: `71045`	$347	$347	$92	3.8×
X-ray, pelvis CPT Code: `72170`	$342	$342	$110	3.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$366	$366	$181	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$362	$362	$185	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$328	$328	$166	2.0×
Blood transfusion CPT Code: `36430`	$342	$342	$498	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$146	$146	$14	10.4×
Physical therapy (gait training) CPT Code: `97116`	$140	$140	$33	4.2×
Physical therapy (manual therapy) CPT Code: `97140`	$142	$142	$34	4.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$140	$140	$35	4.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$148	$148	$38	3.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,083	$158	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,240	$168	$1,256	0.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$130	$130	$35	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$128	$128	$38	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$133	$133	$40	3.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$113	$113	$38	3.0×
Prosthetic fitting and training CPT Code: `97761`	$122	$122	$45	2.7×
Orthotic fitting and training CPT Code: `97760`	$130	$130	$51	2.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$119	$119	$201	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,082	$126	$987	0.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$84	$84	$33	2.5×
New patient office visit (30-44 min) CPT Code: `99203`	$301	$86	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$286	$96	$123	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$348	$348	$203	1.7×
Culture, blood CPT Code: `87040`	$281	$281	$11	25.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$271	$271	$111	2.4×
Blood test, liver function panel CPT Code: `80076`	$206	$206	$9	22.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$178	$178	$11	16.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$181	$181	$19	9.5×
Blood test, vitamin D CPT Code: `82306`	$197	$197	$31	6.4×
Hepatitis B vaccine HCPCS Code: `90744`	$174	$174	$37	4.7×
Blood antibody screen CPT Code: `86850`	$169	$169	$46	3.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$191	$191	$56	3.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$133	$133	$6	22.2×
Blood test, lipase CPT Code: `83690`	$147	$147	$7	21.0×
Culture, bacterial CPT Code: `87070`	$152	$152	$9	16.9×
Blood test, basic metabolic panel CPT Code: `80048`	$145	$145	$9	16.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$165	$165	$14	11.8×
Blood test, vitamin B12 CPT Code: `82607`	$152	$152	$16	9.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$113	$113	$4	28.3×
Blood test, magnesium CPT Code: `83735`	$125	$125	$7	17.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$119	$119	$8	14.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$129	$129	$14	9.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$132	$132	$18	7.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$84	$84	$5	16.8×
Blood test, amylase CPT Code: `82150`	$102	$102	$7	14.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$76	$76	$3	25.3×
Blood test, potassium CPT Code: `84132`	$98	$98	$5	19.6×
Blood test, sodium CPT Code: `84295`	$94	$94	$5	18.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$94	$94	$5	18.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$73	$73	$4	18.3×
Blood test, calcium CPT Code: `82310`	$70	$70	$5	14.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$89	$10	8.9×
Hepatitis C antibody test CPT Code: `86803`	$97	$97	$15	6.5×
Blood test, hemoglobin CPT Code: `85018`	$49	$49	$3	16.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$55	$55	$25	2.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$72	$72	$39	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$65	$65	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$65	$65	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$65	$65	$49	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$193	$75	$87	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$194	$26	$25	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$235	$12	$64	0.2×
Pneumococcal vaccine HCPCS Code: `90732`	$22	$22	$140	0.2×

Showing top 25 high-impact procedures of 107 total

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

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

CMS CCN: 381306

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $133,218

Insurer Median $133,218

1. Amount on Your Bill or Quote ($) Pre-filled with Wallowa 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 Published Cash: $133,218

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Wallowa Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $133,218 (vs. $133,218 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$114,131 Above Fair BaseRate

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

Your bill ($133,218) is $114,131 above the denoised Fair BaseRate ($19,087) and 9.4× 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 Wallowa 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

CMS Overall3/5 Stars (3/5)

Safety Composite72/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait108 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

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 Wallowa Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-01·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (71 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.51× regional baseline

Quality: 60/100 CMS composite

Median Household Income$65,559U.S. Census ACS

Local Uninsured Share6.9%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 54/100 · Caution CMS CCN 381306

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 381306) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-07-09

Validated Rate Rows798 (CMS v3.0.0)

File Integrity DigestVerified · CCN 381306

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