Heritage Valley Beaver
1000 Dutch Ridge Road, Beaver, PA 15009 · 108 Priced Procedures · 56% Patient Recommendation
Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.89× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Heritage Valley Beaver maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.98× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
- Self-pay cash beats commercial insurance on 56% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (59/100 safety score) with 56% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Captive ER (1.3×) & laboratory (1.3×) services average 1.22× higher multiples than routine shoppable care (0.9×)
- Upper-quartile procedures (Q75 0.98×) jump +15% above the median procedure ratio (Q50 0.85×)
- Unnegotiated chargemaster list prices average 5.0× Medicare (19¢ true HCRIS cost per $1 gross)
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 Heritage Valley Beaver
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
Audit a Bill or Quote at Heritage Valley Beaver (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $330
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.3% of gross = $330).
Self-Pay Cash Rate ($418) Beats Your Bill
Heritage Valley Beaver's published 45 CFR § 180 self-pay cash rate is $418 (vs. $688 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $855 Fair BaseRate ($721 Medicare)
Your bill ($1,549) is $694 above the denoised Fair BaseRate ($855) and 2.1× the $721 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (21.3% 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 (1,167 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 Heritage Valley Beaver.
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.