How many shoppable procedure prices are published for Titusville Area Hospital?

Titusville Area Hospital in Titusville, PA currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Titusville Area Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Titusville Area Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Titusville Area Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Titusville Area Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 9/11/2026

Titusville Area Hospital

406 West Oak Street, Titusville, PA 16354 · 107 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.32×vs. Fair Market Price

Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness100

Price Logic70

Peer Alignment76

Clean Billing82

Real Cash Discount100

Premium Quality Tier

4-Star CMS clinical quality rating paired with 1.32× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Titusville Area Hospital prices routine shoppable procedures near 1.5× Medicare (p50 1.14×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.90×, +67% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#108 of 134 in PA · 79th State Percentile#2,298 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.72× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 31% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 80% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Captive ER (5.1×) & laboratory (1.5×) services average 1.13× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.90×) jump +67% above the median procedure ratio (Q50 1.14×)
Consolidated metro market (HHI 8,342) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.13× Divergence

1.7× Medicare

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

Quantile Tail Spread+67% Upper Tail

Q25 0.72× · Q50 1.14× · Q75 1.90×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

5.1× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.9× MedicareGood

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

31% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 74/100Fair

Procedure Prices at Titusville Area 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
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,789	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,212	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,423	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,637	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,038	$8,223	1.0×
Rabies immune globulin HCPCS Code: `90375`	$1,612	$1,612	$322	unverified
Total knee replacement CPT Code: `27447`	$1,504	$1,504	$13,523	0.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,440	$969	$511	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,257	$935	$448	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$824	$824	$6,109	0.1×
Breast lump removal CPT Code: `19120`	$662	$662	$3,875	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,256	$623	$369	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$863	$624	$3,372	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,257	$588	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,257	$540	$343	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,256	$495	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,257	$433	$303	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$450	$376	$272	1.4×
CT scan, pelvis CPT Code: `72192`	$993	$324	$163	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,037	$325	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,037	$325	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$956	$326	$169	1.9×
Blood transfusion CPT Code: `36430`	$326	$326	$498	0.7×
CT scan, sinuses CPT Code: `70486`	$955	$337	$166	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,004	$291	$160	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$312	$244	$132	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$405	$244	$134	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$306	$226	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$250	$239	$1,256	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$404	$244	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$405	$244	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$147	$140	$148	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$173	$161	$987	0.2×
X-ray, hip CPT Code: `73502`	$151	$147	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$205	$120	$86	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$157	$140	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$231	$132	$181	0.7×
X-ray, foot CPT Code: `73630`	$116	$106	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$116	$104	$92	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$120	$105	$123	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$99	$92	$123	0.7×
Family therapy session CPT Code: `90847`	$209	$112	$173	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$218	$89	$166	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$111	$111	$583	0.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$113	$80	$40	2.0×
Typhoid vaccine HCPCS Code: `90675`	$901	$901	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$169	$178	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$128	$151	$140	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$50	$50	$14	3.6×
Blood test, vitamin B12 CPT Code: `82607`	$56	$56	$16	3.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$69	$69	$20	3.5×
Occupational therapy (self-care training) CPT Code: `97535`	$89	$74	$38	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$98	$94	$111	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$77	$64	$34	1.9×
Blood test, vitamin D CPT Code: `82306`	$57	$57	$31	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$87	$63	$87	0.7×
X-ray, pelvis CPT Code: `72170`	$116	$79	$110	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$118	$79	$110	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$32	$45	$14	3.2×
X-ray, chest (two views) CPT Code: `71046`	$116	$59	$93	0.6×
X-ray, lower back CPT Code: `72110`	$200	$62	$112	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$82	$68	$35	unverified
Blood test, sodium CPT Code: `84295`	$19	$19	$5	3.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$14	$4	3.5×
Blood test, liver function panel CPT Code: `80076`	$31	$31	$9	3.4×
Blood test, amylase CPT Code: `82150`	$23	$23	$7	3.3×
Blood test, lipase CPT Code: `83690`	$20	$20	$7	2.9×
Blood test, basic metabolic panel CPT Code: `80048`	$21	$22	$9	2.4×
Culture, blood CPT Code: `87040`	$34	$26	$11	2.4×
Hepatitis C antibody test CPT Code: `86803`	$35	$35	$15	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$41	$18	2.3×
Physical therapy (gait training) CPT Code: `97116`	$73	$61	$33	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$30	$35	$37	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$151	$44	$93	0.5×
Psychological testing evaluation CPT Code: `96136`	$126	$45	$128	0.4×
Blood test, hemoglobin CPT Code: `85018`	$11	$7	$3	2.3×
Blood test, calcium CPT Code: `82310`	$11	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$10	$5	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$23	$12	$6	2.0×
Culture, bacterial CPT Code: `87070`	$32	$18	$9	2.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$19	$19	$10	1.9×
Blood test, magnesium CPT Code: `83735`	$25	$13	$7	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$42	$36	$35	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$62	$37	$38	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$33	$36	$39	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$39	$39	$48	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$79	$60	$86	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	$36	$56	0.6×
Drug screening test HCPCS Code: `G0480`	$55	$55	$116	0.5×
Blood test, potassium CPT Code: `84132`	$19	$9	$5	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$8	$5	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$69	$27	$19	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$18	$14	1.3×
X-ray, chest (single view) CPT Code: `71045`	$116	$43	$92	0.5×
X-ray, ankle CPT Code: `73610`	$116	$35	$93	0.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$28	$7	$8	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$12	$25	0.5×
Blood antibody screen CPT Code: `86850`	$71	$21	$46	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$111	$26	$64	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$19	$19	$49	0.4×
X-ray, hand CPT Code: `73130`	$116	$32	$93	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	0.3×
Group therapy session CPT Code: `90853`	$274	$28	$100	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$45	$33	$201	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$32	$32	$11	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$6	$4	1.5×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.0%

Audit a Bill or Quote at Titusville Area Hospital (Zero PHI Required)

CMS CCN: 391314

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,789

1. Amount on Your Bill or Quote ($) Pre-filled with Titusville Area 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: $25,940 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $25,940

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.0% of gross = $25,940).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Titusville Area 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 +$45,519 Above Fair BaseRate

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

Your bill ($76,294) is $45,519 above the denoised Fair BaseRate ($30,775) and 3.2× 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: 250965579

Filing Period: 195912

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 (34.0% 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.

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 Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait136 min

Left ER Before Seen0%

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 (145 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 Pareto Frontier (Price + Quality)

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

Price Index: 1.05× regional baseline

Quality: 72/100 CMS composite

Median Household Income$60,254U.S. Census ACS

Local Uninsured Share8.8%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 85/100 · Corroborated CMS CCN 391314 EIN 250965579

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 391314) ↗ Verify IRS Form 990 (EIN 250965579) ↗ CMS HCRIS Cost Reports ↗

Published MRF File250965579_Titusville-Area-Hospital_standardcharges_09.11.26.csv

Publication / Vintage9/11/2026 · 8.35 MB

Validated Rate Rows1,205 (CMS v3.0.0)

File Integrity Digest42a3ab8ec9a63230b1d3…

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