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Hospital Profile Acute Care Hospital Voluntary non-profit - Church 158 Beds · urban Updated: 3/10/2026

Bella Vista Hospital

Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681 · 66 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).58/100 · Caution
58/100Self-Pay Cash Beats Insurance 12% of the Time
File Completeness56Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic73Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment73Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing70Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount10Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score61/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Bella Vista Hospital prices routine shoppable procedures near 0.7× Medicare (p50 0.90×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.38×, +53% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#6 of 17 in PR · 29th State Percentile#1,298 of 3,385 in U.S. · 38th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.55× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (61/100 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 (44.4% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (1.00× 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.
  • Captive ER (1.0×) & laboratory (0.7×) services average 2.00× higher multiples than routine shoppable care (0.7×)
  • Upper-quartile procedures (Q75 1.38×) jump +53% above the median procedure ratio (Q50 0.90×)
  • Unnegotiated chargemaster list prices average 1.9× Medicare (46¢ 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 & ER2.00× Divergence
1.4× Medicare

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

Quantile Tail Spread+53% Upper Tail
Q25 0.55× · Q50 0.90× · Q75 1.38×

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
0.9× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.7× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.0× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
0.7× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
12% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 61/100Elevated

Procedure Prices at Bella Vista Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 66 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $819 0.1×
Breast lump removal
CPT Code: 19120
 $536 0.1×
MRI, brain (no contrast)
CPT Code: 70551
 $288 0.8×
MRI, lower back (no contrast)
CPT Code: 72148
 $263 0.8×
MRI, brain (with and without contrast)
CPT Code: 70553
 $283 0.6×
MRI, knee or other leg joint
CPT Code: 73721
 $256 0.7×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $235 0.5×
Vaginal delivery (full package)
CPT Code: 59400
 $225 0.1×
C-section delivery (full package)
CPT Code: 59510
 $225 0.1×
New patient office visit (30-44 min)
CPT Code: 99203
 $211 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $180 0.6×
CT scan, head (with contrast)
CPT Code: 70460
 $150 0.6×
Upper endoscopy with biopsy
CPT Code: 43239
 $175 0.2×
CT scan, pelvis
CPT Code: 72192
 $149 0.9×
CT scan, sinuses
CPT Code: 70486
 $149 0.9×
CT scan, head (no contrast)
CPT Code: 70450
 $138 0.9×
CT scan, chest (no contrast)
CPT Code: 71250
 $138 0.8×
CT scan, head (with and without contrast)
CPT Code: 70470
 $138 0.5×
Colonoscopy with biopsy
CPT Code: 45380
 $153 0.1×
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $127 0.8×
CT scan, neck (cervical spine)
CPT Code: 72125
 $127 0.8×
Colonoscopy (diagnostic)
CPT Code: 45378
 $126 0.1×
X-ray, neck (cervical spine)
CPT Code: 72040
 $84 0.9×
Screening mammogram (both breasts)
CPT Code: 77067
 $80 0.7×
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $80 0.5×
Showing top 25 high-impact procedures of 66 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.4%

Audit a Bill or Quote at Bella Vista Hospital (Zero PHI Required)

CMS CCN: 400014
CPT 47562
Fair BaseRate™ $6,109
Medicare Rate $6,176
Self-Pay Cash $819
Insurer Median $819
Pre-filled with Bella Vista Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $364 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $364

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.4% of gross = $364).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $819

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Bella Vista Hospital's published 45 CFR § 180 self-pay cash rate is $819 (vs. $819 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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: 660204776
Filing Period: 199601
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 (44.4% 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

Safety Composite61/100
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
Central-Line Bloodstream Infectionworse
C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

  • 2025-12-16·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-09-16·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.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 0.78× regional baseline
Quality: 51/100 CMS composite
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 58/100 · Caution CMS CCN 400014 EIN 660204776

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 400014) ↗ Verify IRS Form 990 (EIN 660204776) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage3/10/2026
Validated Rate Rows1,006 (CMS v3.0.0)
File Integrity DigestVerified · CCN 400014

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