Lourdes Counseling Center
1175 Carondelet Drive, Richland, WA 99352 · 14 Priced Procedures
Typical commercial prices here are 41% below the fair benchmark (0.59×) 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
Lourdes Counseling Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.61× Fair BaseRate) and emergency/ancillary services (0.6× Medicare, p75 0.66× 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 41% below peer Fair BaseRate (0.59×)
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% 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 (0.59× 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 0.61× Fair BaseRate (0.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.59× 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.
- Consolidated metro market (HHI 5,021) 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 Lourdes Counseling Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 14 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $188 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $110 | 0.9× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $112 | 0.6× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $108 | 0.6× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $108 | unverified |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $76 | 0.9× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $71 | 0.4× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $84 | unverified |
| Behavioral health assessment HCPCS Code: H0001 | $46 | 0.3× |
| Behavioral health outpatient services HCPCS Code: H2015 | $11 | 0.7× |
| Electrical stimulation therapy HCPCS Code: G0283 | $9 | 0.6× |
| Physical therapy (manual therapy) CPT Code: 97140 | $21 | 0.6× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $41 | unverified |
| Community mental health services HCPCS Code: H0038 | $3 | 0.2× |
Audit a Bill or Quote at Lourdes Counseling Center (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 ($188) Beats Your Bill
Lourdes Counseling Center's published 45 CFR § 180 self-pay cash rate is $188 (vs. $188 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($1,021).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Lourdes Counseling Center 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lourdes Counseling Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-11-12·administrative_or_closure
Closure Notice
Recorded - 2025-09-30·cap_corrective_action
CAP Request
Recorded - 2025-06-27·cap_corrective_action
CAP Request
Recorded
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 Lourdes Counseling Center.
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.