Lake Chelan Community Hospital
110 S Apple Blossom Dr, Chelan, WA 98816 · 112 Priced Procedures
Typical commercial prices here are 55% below the fair benchmark (0.45×) 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
Lake Chelan Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.38× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.63× 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 55% below peer Fair BaseRate (0.45×)
- Self-pay cash beats commercial insurance on 27% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (69/100 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 (58.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.45× 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 0.38× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 0.63×) jump +66% above the median procedure ratio (Q50 0.38×)
- Consolidated metro market (HHI 9,275) 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 Lake Chelan Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $18,141 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $11,431 | 1.9× |
| Total hip replacement CPT Code: 27130 | $3,467 | 0.3× |
| Total knee replacement CPT Code: 27447 | $3,459 | 0.3× |
| Trauma team activation HCPCS Code: G0390 | $2,792 | 1.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $2,404 | 0.3× |
| Breast lump removal CPT Code: 19120 | $1,675 | 0.4× |
| Blood transfusion CPT Code: 36430 | $1,509 | 3.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,340 | 2.3× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $981 | 3.6× |
| Bunion correction surgery CPT Code: 28296 | $693 | 0.2× |
| X-ray, lower back CPT Code: 72110 | $525 | 4.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $520 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $505 | 0.1× |
| X-ray, hand CPT Code: 73130 | $452 | 4.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $381 | 4.1× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $400 | 2.6× |
| X-ray, foot CPT Code: 73630 | $367 | 4.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $339 | 3.9× |
| X-ray, hip CPT Code: 73502 | $361 | 3.9× |
| X-ray, shoulder CPT Code: 73030 | $338 | 3.7× |
| X-ray, ankle CPT Code: 73610 | $322 | 3.5× |
| X-ray, pelvis CPT Code: 72170 | $337 | 3.1× |
| X-ray, chest (two views) CPT Code: 71046 | $306 | 3.3× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $292 | 1.5× |
Audit a Bill or Quote at Lake Chelan Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $10,632
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (58.6% of gross = $10,632).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Lake Chelan Community Hospital's published 45 CFR § 180 self-pay cash rate is $18,141 (vs. $18,141 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 (58.6% 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
Source: CMS Hospital Care Compare. 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 Lake Chelan Community 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.