How many shoppable procedure prices are published for Prosser Memorial Hospital?

Prosser Memorial Hospital in Prosser, WA currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Prosser Memorial Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Prosser Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 1/1/2025

Prosser Memorial Hospital

723 Memorial Street, Prosser, WA 99350 · 113 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness66

Price Logic67

Peer Alignment49

Clean Billing88

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Prosser Memorial Hospital prices routine shoppable procedures near 0.9× Medicare (p50 0.90×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.62×, +80% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#22 of 58 in WA · 36th State Percentile#1,447 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.28× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (74/100 safety score) with 85% 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 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (2.9×) services average 1.78× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.62×) jump +80% above the median procedure ratio (Q50 0.90×)
Consolidated metro market (HHI 5,021) 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 & ER1.78× Divergence

1.6× Medicare

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

Quantile Tail Spread+80% Upper Tail

Q25 0.28× · Q50 0.90× · Q75 1.62×

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

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.2× MedicareGood

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

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 74/100Fair

Procedure Prices at Prosser Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$18,516	$30,775	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$11,773	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,313	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$10,855	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,682	$8,223	0.6×
C-section delivery (full package) CPT Code: `59510`	$3,379	$2,971	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$3,054	$2,683	$2,680	1.0×
Total knee replacement CPT Code: `27447`	$2,537	$2,537	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$2,377	$2,377	$13,413	0.2×
Trauma team activation HCPCS Code: `G0390`	$1,660	$1,660	$1,453	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,234	$1,234	$6,109	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$890	$890	$583	1.5×
Rabies immune globulin HCPCS Code: `90375`	$858	$858	$322	2.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$816	$816	$151	5.4×
Bunion correction surgery CPT Code: `28296`	$1,740	$666	$3,446	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$895	$623	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$855	$589	$3,629	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$474	$474	$272	1.7×
Breast lump removal CPT Code: `19120`	$807	$474	$3,875	0.1×
Blood transfusion CPT Code: `36430`	$356	$356	$498	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$240	$240	$86	2.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$657	$204	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$781	$222	$1,256	0.2×
Physical therapy (manual therapy) CPT Code: `97140`	$97	$135	$34	4.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$93	$135	$38	3.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$156	$156	$64	2.4×
X-ray, hip CPT Code: `73502`	$145	$145	$93	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$195	$165	$185	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$98	$135	$35	3.9×
Speech therapy (language evaluation) CPT Code: `92507`	$222	$135	$86	1.6×
X-ray, foot CPT Code: `73630`	$133	$133	$92	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$163	$156	$181	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$571	$153	$987	0.2×
New patient office visit (30-44 min) CPT Code: `99203`	$180	$109	$110	1.0×
Family therapy session CPT Code: `90847`	$204	$119	$173	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,691	$121	$511	0.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$107	$135	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$75	$135	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$87	$87	$33	2.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$199	$111	$123	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$111	$105	$166	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,368	$92	$303	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,664	$97	$448	0.2×
Speech therapy (group session) CPT Code: `92508`	$106	$106	$27	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$134	$134	$111	1.2×
Blood antibody screen CPT Code: `86850`	$111	$131	$46	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$77	$77	$56	1.4×
X-ray, shoulder CPT Code: `73030`	$74	$74	$92	0.8×
X-ray, lower back CPT Code: `72110`	$65	$65	$112	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$76	$76	$140	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$89	$89	$203	0.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$53	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	$71	$71	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	$54	$54	$45	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$139	$74	$87	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$281	$53	$148	0.4×
CT scan, pelvis CPT Code: `72192`	$1,041	$57	$163	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,151	$78	$338	0.2×
Blood test, vitamin D CPT Code: `82306`	$122	$50	$31	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,034	$72	$369	0.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$70	$70	$14	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$108	$23	$14	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$32	$32	$93	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,310	$57	$167	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$137	$18	$11	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$375	$40	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$321	$43	$134	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$939	$53	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$929	$53	$169	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$834	$45	$160	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$36	$49	unverified
Blood test, calcium CPT Code: `82310`	$42	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$92	$12	$7	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$10	$6	1.7×
Culture, bacterial CPT Code: `87070`	$93	$15	$9	1.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$23	$14	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$110	$31	$19	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$92	$13	$8	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$86	$16	$10	1.6×
Blood test, potassium CPT Code: `84132`	$40	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$47	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$39	$24	$15	1.6×
Blood test, amylase CPT Code: `82150`	$71	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$79	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$92	$25	$16	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$89	$14	$9	1.6×
Blood test, liver function panel CPT Code: `80076`	$103	$14	$9	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$84	$28	$18	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$112	$31	$20	1.6×
Culture, blood CPT Code: `87040`	$149	$17	$11	1.5×
Ultrasound, pelvis CPT Code: `76856`	$105	$36	$130	0.3×
CT scan, sinuses CPT Code: `70486`	$730	$45	$166	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,282	$67	$258	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$939	$60	$242	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,125	$78	$343	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$54	$7	$5	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$48	$32	$35	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$31	$31	$37	0.8×
Blood test, hemoglobin CPT Code: `85018`	$30	$4	$3	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$105	$16	$25	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$17	$17	$39	0.4×
X-ray, chest (two views) CPT Code: `71046`	$25	$25	$93	0.3×
X-ray, ankle CPT Code: `73610`	$24	$24	$93	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$262	$31	$126	0.2×
X-ray, pelvis CPT Code: `72170`	$26	$26	$110	0.2×
X-ray, chest (single view) CPT Code: `71045`	$21	$21	$92	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$93	$30	$132	0.2×
X-ray, hand CPT Code: `73130`	$20	$20	$93	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$106	$27	$201	0.1×

Showing top 25 high-impact procedures of 113 total

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

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

CMS CCN: 501312

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $18,516

1. Amount on Your Bill or Quote ($) Pre-filled with Prosser Memorial 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Prosser Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$13,663 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($44,438) is $13,663 above the denoised Fair BaseRate ($30,775) and 1.9× the $23,504 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 Prosser Memorial 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 Composite74/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait126 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (258 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.41× regional baseline

Quality: 70/100 CMS composite

Median Household Income$87,316U.S. Census ACS

Local Uninsured Share7.5%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 73/100 · Corroborated CMS CCN 501312

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 501312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2025

Validated Rate Rows6,998 (CMS v2.0.0)

File Integrity DigestVerified · CCN 501312

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