Orem Community Hospital
331 North 400 West, Orem, UT 84057 · 121 Priced Procedures · 86% Patient Recommendation
Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Orem Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.90× 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 8% below peer Fair BaseRate (0.92×)
- Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (86/100 safety score) with 86% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
- Captive ER (2.3×) & laboratory (2.1×) services average 1.38× higher multiples than routine shoppable care (0.8×)
- Even at low-cost facilities (0.92× 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.
- 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 Orem Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,121 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,313 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,572 | 0.9× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,327 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,337 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,377 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,212 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,036 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $918 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $869 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $763 | 0.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $729 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $584 | 0.2× |
| Breast lump removal CPT Code: 19120 | $608 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $553 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $353 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $353 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $280 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $242 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $242 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $242 | 0.7× |
| Care planning with family CPT Code: 90887 | $216 | 2.0× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $171 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $178 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $178 | 0.7× |
Audit a Bill or Quote at Orem Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $8,428
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.4% of gross = $8,428).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Orem Community Hospital'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 $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($14,690) is $8,581 above the denoised Fair BaseRate ($6,109) and 2.4× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (57.4% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Orem Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-23·administrative_or_closure
Closure Notice
Recorded - 2025-02-20·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (96 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 Orem Community Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.