How many shoppable procedure prices are published for Allegheny Valley Hospital?

Allegheny Valley Hospital in Natrona, PA currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Allegheny Valley Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Allegheny Valley Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Allegheny Valley Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Allegheny Valley Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 133 Beds · urban Updated: 2026-04-14

Allegheny Valley Hospital

1301 Carlisle St, Natrona, PA 15065 · 134 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.79×vs. Fair Market Price

Typical commercial prices here are 21% below the fair benchmark (0.79×) after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness100

Price Logic92

Peer Alignment66

Clean Billing86

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.79× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Allegheny Valley Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.79× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#7 of 134 in PA · 4th State Percentile#262 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 21% below peer Fair BaseRate (0.79×)
Self-pay cash beats commercial insurance on 15% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 58% patient recommendation (62/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.5× markup over Medicare rates
Captive ER (2.5×) & laboratory (1.7×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.96×) jump +22% above the median procedure ratio (Q50 0.79×)
Unnegotiated chargemaster list prices average 6.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+22% Upper Tail

Q25 0.57× · Q50 0.79× · Q75 0.96×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.5× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

0.9× MedicareGood

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

15% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 62/100Elevated

Procedure Prices at Allegheny Valley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$22,528	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,326	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,765	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,208	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,697	$8,223	0.7×
Vaginal delivery (full package) CPT Code: `59400`	$1,557	$3,101	$2,680	1.2×
C-section delivery (full package) CPT Code: `59510`	$1,729	$3,101	$2,975	1.0×
Trauma team activation HCPCS Code: `G0390`	$652	$1,362	$1,453	0.9×
Blood transfusion CPT Code: `36430`	$1,212	$1,212	$498	2.4×
Total hip replacement CPT Code: `27130`	$832	$832	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$831	$831	$13,523	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$344	$795	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$354	$715	$3,372	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,525	$624	$1,021	0.6×
Bunion correction surgery CPT Code: `28296`	$336	$571	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$341	$528	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$272	$510	$3,875	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$429	$429	$6,109	0.1×
Rabies immune globulin HCPCS Code: `90375`	$939	$326	$322	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,712	$316	$511	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$128	$327	$1,256	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,588	$280	$448	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$118	$262	$981	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$838	$191	$272	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,010	$202	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,010	$194	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,010	$209	$369	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$88	$218	$987	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$165	$165	$64	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$221	$154	$151	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,236	$148	$258	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,429	$162	$303	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,520	$167	$583	0.3×
Behavioral health assessment HCPCS Code: `H0001`	—	$140	$157	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$424	$129	$148	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$91	$131	$181	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$347	$104	$123	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$553	$104	$132	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$97	$123	$185	0.7×
Care planning with family CPT Code: `90887`	$49	$86	$107	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$547	$92	$123	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$553	$97	$134	0.7×
Review of medical records for care CPT Code: `90889`	—	$81	$114	0.7×
Ultrasound, pelvis CPT Code: `76856`	$553	$91	$130	0.7×
CT scan, sinuses CPT Code: `70486`	$1,069	$113	$166	0.7×
CT scan, pelvis CPT Code: `72192`	$1,069	$106	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,069	$106	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,069	$107	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,069	$106	$168	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,789	$124	$242	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,069	$94	$160	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$61	$95	$166	0.6×
Family therapy session CPT Code: `90847`	$69	$93	$173	0.5×
Neurobehavioral status check CPT Code: `96116`	$51	$95	$231	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$114	$114	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$200	$396	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$208	$225	$203	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$54	$144	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$118	$117	$111	1.1×
Drug screening test HCPCS Code: `G0480`	—	$105	$116	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$291	$78	$86	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$469	$79	$110	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$553	$74	$126	0.6×
Blood test, vitamin D CPT Code: `82306`	$184	$31	$31	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$20	$33	$33	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$35	$37	0.9×
Orthotic fitting and training CPT Code: `97760`	$172	$45	$51	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$43	$49	$56	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$469	$70	$87	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$79	$79	$855	0.1×
X-ray, hip CPT Code: `73502`	$420	$45	$93	0.5×
X-ray, lower back CPT Code: `72110`	$507	$48	$112	0.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$85	$14	$14	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$420	$35	$93	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$43	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$30	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$30	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$49	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$89	$15	$15	1.0×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$121	$19	$20	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$37	$39	0.9×
Culture, blood CPT Code: `87040`	$65	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$54	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$25	$25	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$18	$33	$35	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$94	$15	$16	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$85	$25	$27	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$73	$25	$27	0.9×
Prosthetic fitting and training CPT Code: `97761`	$149	$39	$45	0.9×
Physical therapy (gait training) CPT Code: `97116`	$113	$28	$33	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$32	$38	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$112	$41	$49	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$149	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$129	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$122	$31	$38	0.8×
X-ray, hand CPT Code: `73130`	$336	$35	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$52	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$66	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$84	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$52	$9	$9	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$60	$10	$10	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$121	$19	$19	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$105	$17	$18	0.9×
X-ray, ankle CPT Code: `73610`	$420	$34	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$420	$32	$92	0.3×
X-ray, foot CPT Code: `73630`	$420	$32	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$32	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$5	$5	1.0×
Blood test, magnesium CPT Code: `83735`	$42	$7	$7	1.0×
Blood test, amylase CPT Code: `82150`	$40	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$4	$5	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$9	$20	$25	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$103	$26	$34	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$114	$26	$35	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$112	$33	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$112	$33	$49	0.7×
Psychological testing evaluation CPT Code: `96136`	$15	$40	$128	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$458	$42	$201	0.2×
Psychological testing by technician CPT Code: `96138`	$22	$60	$395	0.2×
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$12	$34	0.4×
X-ray, chest (two views) CPT Code: `71046`	$420	$28	$93	0.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$17	$65	0.3×
Group therapy session CPT Code: `90853`	$16	$26	$100	0.3×
Blood antibody screen CPT Code: `86850`	$333	$11	$46	0.2×
X-ray, chest (single view) CPT Code: `71045`	$336	$21	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$406	$24	$110	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$29	$140	0.2×

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 11.1%

Audit a Bill or Quote at Allegheny Valley Hospital (Zero PHI Required)

CMS CCN: 390032

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $22,528

1. Amount on Your Bill or Quote ($) Pre-filled with Allegheny Valley 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 501(r) AGB Cap: $6,012 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,012

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.1% of gross = $6,012).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Allegheny Valley Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$23,292 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($54,067) is $23,292 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 251875178

Filing Period: 201510

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (11.1% 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.

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 Composite62/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait201 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (447 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 Quality & Price Benchmark

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

Price Index: 0.75× regional baseline

Quality: 55/100 CMS composite

Median Household Income$76,393U.S. Census ACS

Local Uninsured Share3.9%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 89/100 · Verified CMS CCN 390032 EIN 251875178

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390032) ↗ Verify IRS Form 990 (EIN 251875178) ↗ CMS HCRIS Cost Reports ↗

Published MRF File251875178_alle-kiski-medical-center_standardcharges.csv

Publication / Vintage2026-04-14 · 321.65 MB

Validated Rate Rows17,805 (CMS v3.0.0)

File Integrity Digest0d5b19428c3057d17bb0…

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.

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