Ogden Regional Medical Center
5475 South 500 East, Ogden, UT 84405 · 123 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +70% above the fair benchmark (1.70×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.70× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Ogden Regional Medical Center prices routine shoppable procedures at 4.0× Medicare (median 1.62× Fair BaseRate) while upper-quartile commercial rates jump +30% to 2.11× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.15× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 71% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.8× markup over Medicare rates
- Commercial insurance median sits at 1.62× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.11×) jump +30% above the median procedure ratio (Q50 1.62×)
- Consolidated metro market (HHI 2,889) 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 Ogden Regional Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $20,570 | 1.5× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,671 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $12,026 | 0.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $7,899 | 1.3× |
| Trauma team activation HCPCS Code: G0390 | $6,917 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $5,648 | 1.6× |
| Breast lump removal CPT Code: 19120 | $5,617 | 1.4× |
| Bunion correction surgery CPT Code: 28296 | $5,524 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $5,423 | 2.1× |
| Vaginal delivery (full package) CPT Code: 59400 | $5,158 | 1.9× |
| C-section delivery (full package) CPT Code: 59510 | $5,158 | 1.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,021 | 0.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,931 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,450 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $3,392 | 0.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,032 | 2.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,954 | 3.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,954 | 3.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,482 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,274 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,203 | unverified |
| Blood transfusion CPT Code: 36430 | $2,111 | 4.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,111 | 2.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,051 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,001 | unverified |
Audit a Bill or Quote at Ogden Regional Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Ogden Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($49,368) is $35,955 above the denoised Fair BaseRate ($13,413) and 3.8× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Ogden Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Ogden Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-30·administrative_or_closure
Met Requirements
Recorded - 2023-10-04·administrative_or_closure
Closure Notice
Recorded - 2023-06-27·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (520 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 Ogden Regional Medical Center.
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.