Bucktail Medical Center
1001 Pine Street, Renovo, PA 17764 · 68 Priced Procedures
Typical commercial prices here are +30% above the fair benchmark (1.30×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Bucktail Medical Center prices routine shoppable procedures near 1.5× Medicare (p50 1.11×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.80×, +62% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (43/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (39.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
- Captive ER (2.2×) & laboratory (3.1×) services average 1.33× higher multiples than routine shoppable care (1.5×)
- Upper-quartile procedures (Q75 1.80×) jump +62% above the median procedure ratio (Q50 1.11×)
- 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 Bucktail Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hospital observation (per hour) HCPCS Code: G0378 | $624 | unverified |
| Neurobehavioral status check CPT Code: 96116 | $422 | 1.8× |
| Blood transfusion CPT Code: 36430 | $375 | 0.8× |
| Speech therapy (language evaluation) CPT Code: 92507 | $167 | 1.9× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $110 | 4.4× |
| Prosthetic fitting and training CPT Code: 97761 | $81 | 1.8× |
| Orthotic fitting and training CPT Code: 97760 | $88 | 1.7× |
| X-ray, chest (two views) CPT Code: 71046 | $109 | 1.2× |
| X-ray, chest (single view) CPT Code: 71045 | $100 | 1.1× |
| X-ray, hand CPT Code: 73130 | $92 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $90 | 1.0× |
| X-ray, hip CPT Code: 73502 | $88 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $86 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $103 | 0.9× |
| X-ray, foot CPT Code: 73630 | $84 | 0.9× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $89 | 0.7× |
| Hepatitis B vaccine HCPCS Code: 90744 | $356 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $191 | 10.6× |
| Blood test, vitamin D CPT Code: 82306 | $194 | 6.3× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $209 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $171 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $121 | 13.4× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $137 | 12.5× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $154 | 11.0× |
| Hepatitis C antibody test CPT Code: 86803 | $162 | 10.8× |
Audit a Bill or Quote at Bucktail Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $617
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (39.0% of gross = $617).
Self-Pay Cash Rate ($1,423) Beats Your Bill
Bucktail Medical Center's published 45 CFR § 180 self-pay cash rate is $1,423 (vs. $624 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $86 Fair BaseRate ($50 Medicare)
Your bill ($1,582) is $1,496 above the denoised Fair BaseRate ($86) and 31.6× the $50 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (39.0% 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 Bucktail Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-08·administrative_or_closure
Closure Notice
Recorded - 2025-02-27·cmp_monetary_penalty
CMP Notice
Recorded - 2024-07-10·cap_corrective_action
CAP Request
Recorded - 2023-06-13·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare. 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 Bucktail Medical Center.
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.