How many shoppable procedure prices are published for Island Hospital?

Island Hospital in Anacortes, WA currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Island Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Island Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Island Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Island Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 43 Beds · rural Updated: 2025-03-18

Island Hospital

1211 24Th Street, Anacortes, WA 98221 · 119 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.69×vs. Fair Market Price

Typical commercial prices here are 31% below the fair benchmark (0.69×) after accounting for local nurse/doctor wages and patient complexity.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness37

Price Logic70

Peer Alignment71

Clean Billing78

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.69× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Island Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.64× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.88× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#9 of 58 in WA · 13th State Percentile#130 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 31% below peer Fair BaseRate (0.69×)
Self-pay cash beats commercial insurance on 15% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 83% patient recommendation (68/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.69× 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.
Commercial insurance median sits at 0.64× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.88×) jump +38% above the median procedure ratio (Q50 0.64×)
Consolidated metro market (HHI 5,434) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER0.89× Divergence

0.8× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 0.48× · Q50 0.64× · Q75 0.88×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at Island Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$28,801	$15,392	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$67,194	$15,159	$19,432	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$22,419	$6,427	$8,223	0.8×
C-section delivery (full package) CPT Code: `59510`	$4,565	$4,541	$2,975	1.5×
Vaginal delivery (full package) CPT Code: `59400`	$3,704	$3,578	$2,680	1.3×
Trauma team activation HCPCS Code: `G0390`	$3,000	$3,000	$1,453	2.1×
Rabies immune globulin HCPCS Code: `90375`	$2,247	$2,247	$322	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,000	$2,000	$583	3.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,967	$1,967	$6,109	0.3×
Inguinal hernia repair CPT Code: `49505`	$1,290	$1,236	$3,629	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$1,125	$1,125	$855	1.3×
Total knee replacement CPT Code: `27447`	$1,098	$1,098	$13,523	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$798	$798	$1,256	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$757	$757	$981	0.8×
Total hip replacement CPT Code: `27130`	$765	$765	$13,413	0.1×
Breast lump removal CPT Code: `19120`	$1,141	$733	$3,875	0.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,298	$541	$167	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,227	$376	$1,021	0.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,816	$330	$511	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$341	$341	$987	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,037	$234	$160	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,741	$228	$258	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,515	$239	$303	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,942	$244	$448	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$261	$212	$185	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$217	$183	$110	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$200	$183	$123	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$255	$203	$181	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,383	$212	$242	0.9×
Blood transfusion CPT Code: `36430`	$420	$216	$498	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,319	$188	$343	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,074	$188	$369	0.5×
Ultrasound, pelvis CPT Code: `76856`	$364	$203	$130	unverified
Family therapy session CPT Code: `90847`	$220	$203	$173	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$187	$155	$86	1.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$185	$172	$166	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$722	$130	$272	0.5×
Care planning with family CPT Code: `90887`	$143	$143	$107	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$106	$106	$25	4.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$150	$116	$87	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$580	$119	$134	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,887	$139	$338	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$500	$82	$132	0.6×
CT scan, pelvis CPT Code: `72192`	$1,298	$86	$163	0.5×
CT scan, sinuses CPT Code: `70486`	$1,178	$82	$166	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,487	$82	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,298	$80	$169	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	$80	$80	$34	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$100	$100	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$653	$653	$347	unverified
Drug screening test HCPCS Code: `G0480`	$155	$155	$116	1.3×
Culture, bacterial CPT Code: `87070`	$114	$114	$9	12.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$130	$130	$19	6.8×
Blood test, vitamin B12 CPT Code: `82607`	$100	$100	$16	6.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$97	$97	$20	4.8×
Blood test, magnesium CPT Code: `83735`	$69	$69	$7	9.9×
Blood test, amylase CPT Code: `82150`	$64	$64	$7	9.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$68	$8	8.5×
Blood test, lipase CPT Code: `83690`	$54	$54	$7	7.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$85	$85	$14	6.1×
Colorectal cancer screening HCPCS Code: `G0010`	$57	$57	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$105	$73	$64	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$81	$81	$140	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$68	$68	$203	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$73	$73	$151	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$71	$71	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$24	$14	1.7×
Behavioral health outpatient services HCPCS Code: `H2015`	$25	$25	$16	1.6×
Speech therapy (group session) CPT Code: `92508`	$45	$30	$27	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$75	$38	$35	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$500	$63	$126	0.5×
Group therapy session CPT Code: `90853`	$55	$40	$100	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$47	$47	$201	0.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$41	$4	$4	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$76	$29	$35	0.8×
Blood test, vitamin D CPT Code: `82306`	$105	$23	$31	0.7×
X-ray, chest (two views) CPT Code: `71046`	$375	$44	$93	0.5×
X-ray, hip CPT Code: `73502`	$350	$42	$93	0.5×
X-ray, chest (single view) CPT Code: `71045`	$300	$40	$92	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$352	$40	$93	0.4×
X-ray, ankle CPT Code: `73610`	$346	$40	$93	0.4×
X-ray, foot CPT Code: `73630`	$346	$39	$92	0.4×
X-ray, hand CPT Code: `73130`	$346	$38	$93	0.4×
X-ray, pelvis CPT Code: `72170`	$218	$44	$110	0.4×
X-ray, lower back CPT Code: `72110`	$560	$40	$112	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$388	$39	$123	0.3×
Blood test, calcium CPT Code: `82310`	$54	$4	$5	0.8×
Blood test, liver function panel CPT Code: `80076`	$81	$7	$9	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$29	$38	0.8×
Physical therapy (gait training) CPT Code: `97116`	$81	$24	$33	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$92	$29	$40	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$3	$4	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$6	$9	0.7×
Prosthetic fitting and training CPT Code: `97761`	$81	$29	$45	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$2	$3	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$9	$14	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$24	$38	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$68	$30	$48	0.6×
Orthotic fitting and training CPT Code: `97760`	$72	$29	$51	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$3	$5	0.6×
Blood test, potassium CPT Code: `84132`	$32	$3	$5	0.6×
Blood test, sodium CPT Code: `84295`	$29	$3	$5	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$3	$5	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$77	$28	$49	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$116	$6	$11	0.5×
Culture, blood CPT Code: `87040`	$154	$6	$11	0.5×
Hepatitis C antibody test CPT Code: `86803`	$68	$8	$15	0.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$115	$9	$18	0.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$68	$3	$6	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$20	$19	$39	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$17	$17	$37	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$57	$21	$56	0.4×
X-ray, shoulder CPT Code: `73030`	$312	$29	$92	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$400	$41	$148	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$39	$20	$111	0.2×
Blood antibody screen CPT Code: `86850`	$72	$3	$46	0.1×
Blood test, hemoglobin CPT Code: `85018`	$25	$4	$3	unverified

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Island Hospital (Zero PHI Required)

CMS CCN: 500007

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $28,801

Insurer Median $15,392

1. Amount on Your Bill or Quote ($) Pre-filled with Island Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 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 Published Cash: $28,801

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Island Hospital's published 45 CFR § 180 self-pay cash rate is $28,801 (vs. $15,392 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$9,714 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($28,801) is $9,714 above the denoised Fair BaseRate ($19,087) and 2.0× the $14,117 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 Island Hospital 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

CMS Overall4/5 Stars (4/5)

Safety Composite68/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait193 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Island Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-21·administrative_or_closure
Closure Notice
Recorded
2026-02-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (329 completed HCAHPS patient surveys). 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

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Island Hospital.

Price Index: 0.65× regional baseline

Quality: 67/100 CMS composite

Median Household Income$85,474U.S. Census ACS

Local Uninsured Share6.6%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 54/100 · Caution CMS CCN 500007

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 500007) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2025-03-18 · 63.90 MB

Validated Rate Rows4,005 (CMS v2.0.0)

File Integrity DigestVerified · CCN 500007

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