How many shoppable procedure prices are published for Providence Centralia Hospital?

Providence Centralia Hospital in Centralia, WA currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Providence Centralia Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 113 Beds · rural Updated: 2026-04-01

Providence Centralia Hospital

914 S Scheuber Road, Centralia, WA 98531 · 121 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.74×vs. Fair Market Price

Typical commercial prices here are +74% above the fair benchmark (1.74×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness61

Price Logic92

Peer Alignment63

Clean Billing86

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.74× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 9,478), Providence Centralia Hospital commands a 1.74× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#54 of 58 in WA · 91st State Percentile#2,920 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.54× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (61/100 safety score) with 61% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.74× 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 1.65× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.98×) jump +20% above the median procedure ratio (Q50 1.65×)
Consolidated metro market (HHI 9,478) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.6× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 1.54× · Q50 1.65× · Q75 1.98×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

1.6× MedicareGood

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

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 61/100Elevated

Procedure Prices at Providence Centralia Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	—	$31,095	$30,775	1.0×
Total hip replacement CPT Code: `27130`	—	$25,125	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$25,125	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,158	$19,087	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,018	$17,936	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,809	$19,432	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,601	$6,109	2.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$10,122	$2,680	3.8×
C-section delivery (full package) CPT Code: `59510`	—	$10,122	$2,975	3.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,294	$8,223	1.1×
Breast lump removal CPT Code: `19120`	—	$8,161	$3,875	2.1×
Inguinal hernia repair CPT Code: `49505`	$8,182	$7,463	$3,629	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,820	$3,372	2.0×
Bunion correction surgery CPT Code: `28296`	$6,876	$6,820	$3,446	2.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,810	$2,540	1.9×
Trauma team activation HCPCS Code: `G0390`	$4,266	$2,693	$1,453	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,494	$1,256	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,642	$1,938	$981	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,631	$1,891	$987	1.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,681	$1,021	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,471	$855	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,496	$1,139	$583	2.0×
Blood transfusion CPT Code: `36430`	$1,083	$920	$498	1.8×
Psychological testing by technician CPT Code: `96138`	—	$851	$395	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,322	$737	$448	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,512	$737	$511	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,120	$497	$272	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,117	$504	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,084	$504	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$813	$504	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$1,084	$504	$369	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$586	$442	$201	2.2×
Rabies immune globulin HCPCS Code: `90375`	$4,222	$465	$322	1.4×
Neurobehavioral status check CPT Code: `96116`	—	$436	$231	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$359	$166	2.2×
Family therapy session CPT Code: `90847`	—	$359	$173	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$359	$181	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$359	$185	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,218	$371	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,353	$371	$258	1.4×
Psychological testing evaluation CPT Code: `96136`	—	$253	$128	2.0×
X-ray, pelvis CPT Code: `72170`	$397	$221	$110	2.0×
X-ray, lower back CPT Code: `72110`	$451	$221	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$508	$221	$126	1.8×
Ultrasound, pelvis CPT Code: `76856`	$543	$221	$130	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$508	$221	$132	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$543	$221	$134	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,215	$237	$151	1.6×
Group therapy session CPT Code: `90853`	—	$205	$100	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$807	$221	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$1,692	$221	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$987	$221	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,306	$221	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,216	$221	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,004	$221	$169	1.3×
X-ray, chest (single view) CPT Code: `71045`	$237	$184	$92	2.0×
X-ray, shoulder CPT Code: `73030`	$310	$184	$92	2.0×
X-ray, foot CPT Code: `73630`	$310	$184	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$237	$184	$93	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$185	$184	$93	2.0×
X-ray, hand CPT Code: `73130`	$310	$184	$93	2.0×
X-ray, ankle CPT Code: `73610`	$310	$184	$93	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$485	$191	$148	1.3×
X-ray, hip CPT Code: `73502`	$185	$184	$93	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$208	$25	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$176	$176	$123	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$326	$145	$86	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	$453	$158	$123	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$196	$115	$64	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$93	$93	$86	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$746	$203	3.7×
Typhoid vaccine HCPCS Code: `90675`	$1,156	$533	$347	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$189	$147	$56	2.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$146	$120	$39	3.1×
Hepatitis B vaccine HCPCS Code: `90744`	—	$105	$37	2.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$76	$25	3.0×
Blood antibody screen CPT Code: `86850`	$107	$99	$46	2.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$95	$48	2.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$95	$49	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$62	$38	1.6×
Orthotic fitting and training CPT Code: `97760`	$83	$79	$51	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$95	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$79	$49	$31	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$53	$34	1.6×
Speech therapy (group session) CPT Code: `92508`	$148	$42	$27	1.6×
Physical therapy (gait training) CPT Code: `97116`	$55	$51	$33	1.5×
Prosthetic fitting and training CPT Code: `97761`	$80	$69	$45	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$61	$40	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$67	$51	$35	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$60	$60	$111	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$63	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$63	$38	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$7	$4	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$52	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$10	$6	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$23	$14	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$13	$8	1.6×
Blood test, calcium CPT Code: `82310`	$43	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$8	$5	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$16	$10	1.6×
Blood test, potassium CPT Code: `84132`	$58	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$43	$8	$5	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$30	$19	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$139	$22	$14	1.6×
Blood test, amylase CPT Code: `82150`	$104	$11	$7	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$55	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$116	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$50	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$129	$25	$16	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$126	$28	$18	1.6×
Culture, bacterial CPT Code: `87070`	$278	$14	$9	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$94	$17	$11	1.5×
Culture, blood CPT Code: `87040`	$154	$17	$11	1.5×
Hepatitis C antibody test CPT Code: `86803`	$178	$23	$15	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$6	$4	1.5×
Blood test, liver function panel CPT Code: `80076`	$66	$13	$9	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$54	$7	$5	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$32	$20	unverified
Blood test, hemoglobin CPT Code: `85018`	$35	$4	$3	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$157	$21	$35	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$14	$9	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 21.9%

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

CMS CCN: 500019

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,095

1. Amount on Your Bill or Quote ($) Pre-filled with Providence Centralia 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 501(r) AGB Cap: $16,381 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $16,381

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.9% of gross = $16,381).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Providence Centralia 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 +$43,853 Above Fair BaseRate

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

Your bill ($74,628) is $43,853 above the denoised Fair BaseRate ($30,775) and 3.2× 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 910573108

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (21.9% 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.

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 Overall3/5 Stars (3/5)

Safety Composite61/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait205 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

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 Providence Centralia Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (470 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 Providence Centralia Hospital.

Price Index: 0.95× regional baseline

Quality: 50/100 CMS composite

Median Household Income$69,690U.S. Census ACS

Local Uninsured Share7.1%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 80/100 · Corroborated CMS CCN 500019 EIN 910573108

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 500019) ↗ Verify IRS Form 990 (EIN 910573108) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,786 (CMS v3.0.0)

File Integrity DigestVerified · CCN 500019

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