East Adams Rural Hospital
903 South Adams, Ritzville, WA 99169 · 89 Priced Procedures
Typical commercial prices here are 27% below the fair benchmark (0.73×) 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
East Adams Rural Hospital maintains disciplined commercial pricing across both elective shoppable care (1.4× Medicare) and captive emergency/ancillary departments (1.8× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.73× Fair BaseRate) without hidden ancillary cross-subsidization.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 27% below peer Fair BaseRate (0.73×)
- Self-pay cash beats commercial insurance on 88% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (50/100 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 (89.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Captive ER (2.0×) & laboratory (1.8×) services average 1.29× higher multiples than routine shoppable care (1.4×)
- Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 8,873) 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 East Adams Rural Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $5,694 | 0.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,796 | 5.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,271 | 8.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,051 | 4.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,831 | 5.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,751 | 5.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,700 | 4.6× |
| Blood transfusion CPT Code: 36430 | $1,679 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,539 | 5.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,498 | 5.5× |
| Trauma team activation HCPCS Code: G0390 | $1,427 | 1.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,358 | 8.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,375 | 5.7× |
| CT scan, pelvis CPT Code: 72192 | $1,202 | 7.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,223 | 7.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,124 | 7.0× |
| CT scan, sinuses CPT Code: 70486 | $1,042 | 6.3× |
| Ultrasound, pelvis CPT Code: 76856 | $695 | 5.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $687 | 5.1× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $591 | 4.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $563 | 4.3× |
| Injection procedure for pain management HCPCS Code: G0260 | $494 | 0.6× |
| X-ray, hand CPT Code: 73130 | $335 | 3.6× |
| X-ray, lower back CPT Code: 72110 | $357 | 3.2× |
| X-ray, shoulder CPT Code: 73030 | $309 | 3.4× |
Audit a Bill or Quote at East Adams Rural Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $6,757
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (89.0% of gross = $6,757).
Self-Pay Cash Rate ($5,694) Beats Your Bill
East Adams Rural Hospital's published 45 CFR § 180 self-pay cash rate is $5,694 (vs. $5,694 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (89.0% 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.
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 East Adams Rural Hospital.
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.