Klickitat Valley Hospital
310 South Roosevelt, Goldendale, WA 98620 · 100 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are +46% above the fair benchmark (1.46×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Klickitat Valley Hospital maintains elevated commercial insurance contracts (1.46× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 67% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.65× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 77% 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)
- Even at low-cost facilities (1.46× 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.
- Captive ER (0.5×) & laboratory (2.9×) services average 1.07× higher multiples than routine shoppable care (1.4×)
- Even at low-cost facilities (1.46× 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.
- Unnegotiated chargemaster list prices average 7.0× Medicare (22¢ true HCRIS cost per $1 gross)
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 Klickitat Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,625 | 0.8× |
| Inguinal hernia repair CPT Code: 49505 | $2,671 | 0.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,417 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,564 | 3.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,355 | 2.7× |
| Trauma team activation HCPCS Code: G0390 | $1,313 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,148 | 3.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,156 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,156 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $1,176 | 0.3× |
| Blood transfusion CPT Code: 36430 | $1,128 | 2.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,099 | 1.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,056 | 2.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $969 | 2.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $924 | 2.7× |
| CT scan, pelvis CPT Code: 72192 | $753 | 4.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $771 | 4.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $787 | 3.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $768 | 1.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $740 | 4.4× |
| CT scan, chest (no contrast) CPT Code: 71250 | $660 | 4.0× |
| CT scan, sinuses CPT Code: 70486 | $623 | 3.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $475 | 1.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $421 | 1.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $331 | 2.5× |
Audit a Bill or Quote at Klickitat Valley Hospital (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.
Self-Pay Cash Rate ($4,625) Beats Your Bill
Klickitat Valley Hospital's published 45 CFR § 180 self-pay cash rate is $4,625 (vs. $4,625 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($9,636) is $3,527 above the denoised Fair BaseRate ($6,109) and 1.6× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Klickitat Valley 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (33 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 Klickitat Valley 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.