Central Valley Medical Center - Cah
48 West 1500 North, Nephi, UT 84648 · 7 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.88× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Central Valley Medical Center - Cah maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 1.07× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.07× 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 12% below peer Fair BaseRate (0.88×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 83% patient recommendation (75/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (68.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 1.07× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 3,078) 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 Central Valley Medical Center - Cah
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 7 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $3,164 | 1.1× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,021 | 1.1× |
| Total knee replacement CPT Code: 27447 | $2,200 | 0.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $786 | 0.2× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $134 | 1.1× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $93 | 1.1× |
| New patient office visit (30-44 min) CPT Code: 99203 | $108 | 1.0× |
Audit a Bill or Quote at Central Valley Medical Center - Cah (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,768
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (68.2% of gross = $2,768).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Central Valley Medical Center - Cah's published 45 CFR § 180 self-pay cash rate is $4,060 (vs. $3,164 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($4,060) is $1,085 above the denoised Fair BaseRate ($2,975) and 1.6× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (68.2% 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
Source: CMS Hospital Care Compare (106 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 Central Valley Medical Center - Cah.
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.