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Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-01-15

Garfield County Public Hospital District #1

66 North Sixth Street, Pomeroy, WA 99347 · 73 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).75/100 · Corroborated
75/100Self-Pay Cash Beats Insurance 75% of the Time
File Completeness66Provenance (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 Logic77Coherence (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 Alignment56Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing81Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount96Cash 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 Score85/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait82 minMedian 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 FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Garfield County Public Hospital District #1 concentrates commercial margin in outpatient surgical suites (5.8× Medicare) and specialty drug infusions (1.4× Medicare) relative to routine diagnostics (3.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in WAU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 75% of shoppable procedures (96/100 Cash Honesty)
  • CMS clinical safety score (85/100 safety score) with 72% patient recommendation
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 5.8× markup over Medicare rates
  • Captive ER (6.7×) & laboratory (9.8×) services average 1.37× higher multiples than routine shoppable care (4.6×)
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 6.3× Medicare (32¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
4.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.37× Divergence
6.3× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
4.6× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
5.8× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.6× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
6.7× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
9.8× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.4× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
75% Cash Edge · 96/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 85/100Good

Procedure Prices at Garfield County Public Hospital District #1

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 73 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $929 1.6×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $455 3.4×
Ultrasound, thyroid and neck
CPT Code: 76536
 $422 3.2×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $400 3.2×
Ultrasound, pelvis
CPT Code: 76856
 $409 3.1×
Psychiatric evaluation (first visit)
CPT Code: 90791
 $286 1.5×
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $258 4.0×
X-ray, lower back
CPT Code: 72110
 $244 2.2×
Psychotherapy session (60 minutes)
CPT Code: 90837
 $264 1.5×
X-ray, neck (cervical spine)
CPT Code: 72040
 $196 2.1×
Office visit, established patient (30-39 min)
CPT Code: 99214
 $216 1.8×
X-ray, chest (two views)
CPT Code: 71046
 $177 1.9×
New patient office visit (30-44 min)
CPT Code: 99203
 $188 1.7×
Psychotherapy session (45 minutes)
CPT Code: 90834
 $179 1.1×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $153 1.8×
X-ray, chest (single view)
CPT Code: 71045
 $152 1.7×
X-ray, shoulder
CPT Code: 73030
 $136 1.5×
X-ray, pelvis
CPT Code: 72170
 $160 1.5×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $150 0.6×
Physical therapy (gait training)
CPT Code: 97116
 $100 3.0×
Physical therapy (manual therapy)
CPT Code: 97140
 $100 2.9×
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $100 2.9×
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $106 2.8×
Occupational therapy (self-care training)
CPT Code: 97535
 $105 2.8×
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $110 2.8×
Showing top 25 high-impact procedures of 73 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Garfield County Public Hospital District #1 (Zero PHI Required)

CMS CCN: 501301
CPT 93306
Fair BaseRate™ $583
Medicare Rate $558
Self-Pay Cash $929
Insurer Median $929
Pre-filled with Garfield County Public Hospital District #1’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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $164 Paying Cash

Self-Pay Cash Rate ($929) Beats Your Bill

Garfield County Public Hospital District #1's published 45 CFR § 180 self-pay cash rate is $929 (vs. $929 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$510 Above Fair BaseRate

Negotiate Toward $583 Fair BaseRate ($558 Medicare)

Your bill ($1,093) is $510 above the denoised Fair BaseRate ($583) and 2.0× the $558 Medicare rate.

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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Garfield County Public Hospital District #1 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.

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 Composite85/100
Median ER Wait82 min

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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Garfield County Public Hospital District #1.

Price Index: 1.34× regional baseline
Quality: 54/100 CMS composite
Median Household Income$62,411U.S. Census ACS
Local Uninsured Share4.2%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 501301

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 501301) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-01-15
Validated Rate Rows991 (CMS v3.0.0)
File Integrity DigestVerified · CCN 501301

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