How many shoppable procedure prices are published for Excela Health - Frick Hospital?

Excela Health - Frick Hospital in Mount Pleasant, PA currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Excela Health - Frick Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Excela Health - Frick Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Excela Health - Frick Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 33 Beds · urban Updated: 12/17/2025

Excela Health - Frick Hospital

508 South Church Street, Mount Pleasant, PA 15666 · 97 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness51

Price Logic95

Peer Alignment80

Clean Billing83

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Excela Health - Frick Hospital prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#73 of 134 in PA · 53rd State Percentile#1,251 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 61% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× 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.
Commercial insurance median sits at 0.99× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 4.7× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 0.87× · Q50 0.99× · Q75 1.05×

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

1.1× 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

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.1× MedicareGood

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

27% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Excela Health - Frick Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy with biopsy CPT Code: `45380`	$1,500	$1,241	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,170	$965	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,140	$941	$987	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,182	$749	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$730	$597	$583	1.0×
Blood transfusion CPT Code: `36430`	$390	$476	$498	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,362	$407	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,491	$381	$448	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,615	$297	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,178	$288	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,121	$288	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,121	$288	$369	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$379	$260	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,213	$261	$303	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$177	$243	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$847	$190	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,592	$197	$258	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$185	$159	$148	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$180	$129	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$361	$142	$151	0.9×
X-ray, pelvis CPT Code: `72170`	$129	$112	$110	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$289	$113	$126	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$308	$117	$134	0.9×
Ultrasound, pelvis CPT Code: `76856`	$296	$113	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$389	$113	$132	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$736	$126	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$809	$126	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$856	$126	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$809	$126	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$839	$126	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$809	$126	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	$120	$93	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$183	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$188	$93	$92	1.0×
X-ray, lower back CPT Code: `72110`	$224	$113	$112	1.0×
X-ray, hand CPT Code: `73130`	$156	$93	$93	1.0×
X-ray, chest (two views) CPT Code: `71046`	$151	$95	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$150	$94	$93	unverified
X-ray, hip CPT Code: `73502`	$94	$95	$93	unverified
X-ray, ankle CPT Code: `73610`	$188	$93	$93	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$548	$548	$140	3.9×
Typhoid vaccine HCPCS Code: `90675`	$784	$333	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$166	$166	$111	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$58	$58	$20	2.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$38	$53	$35	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$48	$50	$48	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$81	$64	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$116	$78	$86	0.9×
Drug screening test HCPCS Code: `G0480`	$169	$79	$116	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$52	$49	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$50	$49	1.0×
Prosthetic fitting and training CPT Code: `97761`	$55	$43	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$61	$48	$51	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$154	$68	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$166	$68	$123	0.6×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$77	$77	$27	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$31	$22	$14	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$58	$35	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$55	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$53	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$58	$34	$38	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$140	$50	$87	0.6×
Blood antibody screen CPT Code: `86850`	$68	$56	$46	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$22	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$12	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$15	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$15	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$15	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$44	$17	$15	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$27	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$21	$19	1.1×
Blood test, vitamin D CPT Code: `82306`	$68	$34	$31	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$36	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$16	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$36	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$29	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$33	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$39	$19	$18	1.1×
Blood test, liver function panel CPT Code: `80076`	$24	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$29	$7	$7	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$18	$7	$7	1.0×
Physical therapy (gait training) CPT Code: `97116`	$46	$31	$33	0.9×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$24	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$10	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$13	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$53	$25	$27	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$52	$29	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$92	$13	$25	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	—	$13	$37	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$205	$13	$56	0.2×

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.4%

Audit a Bill or Quote at Excela Health - Frick Hospital (Zero PHI Required)

CMS CCN: 390217

CPT 45380

Select Procedure to Audit:

Fair BaseRate™ $1,256

Medicare Rate $1,223

Self-Pay Cash $1,500

Insurer Median $1,241

1. Amount on Your Bill or Quote ($) Pre-filled with Excela Health - Frick 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: $734 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $734

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.4% of gross = $734).

Step 2 · Cash vs. Insurance Arbitrage Save $1,000 Paying Cash

Self-Pay Cash Rate ($1,500) Beats Your Bill

Excela Health - Frick Hospital's published 45 CFR § 180 self-pay cash rate is $1,500 (vs. $1,241 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,244 Above Fair BaseRate

Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)

Your bill ($2,500) is $1,244 above the denoised Fair BaseRate ($1,256) and 2.0× the $1,223 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)

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 (29.4% 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 Composite65/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait124 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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Excela Health - Frick Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-23·administrative_or_closure
Met Requirements
Recorded
2025-03-13·administrative_or_closure
Closure Notice
Recorded
2025-02-18·cap_corrective_action
CAP Request
Recorded
2024-11-08·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (457 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 Excela Health - Frick Hospital.

Price Index: 0.99× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-42.5%

Median Household Income$72,468U.S. Census ACS

Local Uninsured Share3.2%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 81/100 · Corroborated CMS CCN 390217

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 390217) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage12/17/2025

Validated Rate Rows3,495 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390217

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