How many shoppable procedure prices are published for Skagit Valley Hospital?

Skagit Valley Hospital in Mount Vernon, WA currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Skagit Valley Hospital's commercial prices compare to the fair BaseRate?

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

What is Skagit Valley Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Skagit Valley 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 Government - Hospital District or Authority 137 Beds · urban Updated: 3/26/2026

Skagit Valley Hospital

1415 Kincaid Street, Mount Vernon, WA 98274 · 103 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness100

Price Logic84

Peer Alignment85

Clean Billing84

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.01× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Skagit Valley Hospital prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#19 of 58 in WA · 31st State Percentile#1,362 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 70% 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)

Even at low-cost facilities (1.01× 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 1.01× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.01× 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 5,434) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.92× · Q50 1.01× · Q75 1.06×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

0.7× MedicareGood

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

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Skagit Valley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$3,432	$4,021	$3,875	unverified
Trauma team activation HCPCS Code: `G0390`	$3,264	$2,117	$1,453	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$4,294	$1,238	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,906	$1,068	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$3,160	$984	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,922	$957	$981	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,756	$576	$583	1.0×
Blood transfusion CPT Code: `36430`	$1,680	$459	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$6,820	$409	$322	1.3×
Psychological testing by technician CPT Code: `96138`	$358	$419	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,160	$375	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,437	$383	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$393	$393	$231	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,679	$313	$258	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$340	$283	$123	2.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$220	$257	$185	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,286	$254	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,906	$254	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,967	$254	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,976	$254	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,572	$254	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$330	$214	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$2,091	$204	$242	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,480	$212	$160	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$264	$165	$87	1.9×
Psychological testing evaluation CPT Code: `96136`	$116	$135	$128	1.1×
X-ray, pelvis CPT Code: `72170`	$374	$112	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$837	$136	$134	1.0×
Ultrasound, pelvis CPT Code: `76856`	$464	$127	$130	1.0×
Family therapy session CPT Code: `90847`	$144	$144	$173	unverified
X-ray, chest (two views) CPT Code: `71046`	$332	$94	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$302	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$591	$112	$112	1.0×
X-ray, shoulder CPT Code: `73030`	$365	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$653	$92	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$382	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$398	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$368	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$330	$92	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$630	$112	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$655	$112	$132	0.8×
CT scan, pelvis CPT Code: `72192`	$1,720	$112	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,823	$112	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,907	$112	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,993	$112	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,010	$112	$169	0.7×
Orthotic fitting and training CPT Code: `97760`	$118	$85	$51	1.7×
Group therapy session CPT Code: `90853`	$83	$83	$100	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,015	$344	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$200	$200	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$157	$157	$140	1.1×
Drug screening test HCPCS Code: `G0480`	$253	$124	$116	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$97	$97	$39	2.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$104	$104	$111	unverified
Prosthetic fitting and training CPT Code: `97761`	$130	$74	$45	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$108	$60	$38	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$131	$56	$40	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$62	$49	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$60	$74	$48	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$65	$45	$37	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$110	$42	$35	1.2×
Physical therapy (gait training) CPT Code: `97116`	$102	$38	$33	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$40	$38	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$168	$62	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$278	$62	$86	0.7×
Speech therapy (group session) CPT Code: `92508`	$143	$36	$27	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$138	$54	$86	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$326	$54	$110	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$66	$74	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$23	$20	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$44	$30	$27	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$135	$15	$14	1.1×
Blood test, vitamin D CPT Code: `82306`	$185	$32	$31	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$86	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$120	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$75	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$76	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$3	$3	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$134	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$107	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$135	$19	$19	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$159	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$46	$3	$3	1.0×
Hepatitis C antibody test CPT Code: `86803`	$128	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$192	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$142	$9	$9	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$112	$31	$34	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$116	$34	$38	0.9×
Blood test, sodium CPT Code: `84295`	$53	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$98	$19	$25	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$191	$13	$56	0.2×
Blood antibody screen CPT Code: `86850`	$132	$10	$46	0.2×
Blood test, amylase CPT Code: `82150`	$97	$7	$7	unverified
Blood test, calcium CPT Code: `82310`	$56	$5	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$61	$5	$5	unverified
Blood test, magnesium CPT Code: `83735`	$76	$7	$7	unverified
Blood test, potassium CPT Code: `84132`	$53	$5	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	$8	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$5	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$6	$6	unverified

Showing top 25 high-impact procedures of 103 total

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

Audit a Bill or Quote at Skagit Valley Hospital (Zero PHI Required)

CMS CCN: 500003

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $3,432

Insurer Median $4,021

1. Amount on Your Bill or Quote ($) Pre-filled with Skagit Valley 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 Save $858 Paying Cash

Self-Pay Cash Rate ($3,432) Beats Your Bill

Skagit Valley Hospital's published 45 CFR § 180 self-pay cash rate is $3,432 (vs. $4,021 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$415 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($4,290) is $415 above the denoised Fair BaseRate ($3,875) and 1.1× the $4,000 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)

EIN: 562392010

Public IRS & CMS ownership records classify Skagit 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.

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 Composite73/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait190 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (532 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 Skagit Valley Hospital.

Price Index: 1.35× regional baseline

Quality: 71/100 CMS composite

Median Household Income$85,474U.S. Census ACS

Local Uninsured Share6.6%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 90/100 · Verified CMS CCN 500003 EIN 562392010

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 500003) ↗ Verify IRS Form 990 (EIN 562392010) ↗ CMS HCRIS Cost Reports ↗

Published MRF File562392010_public-hospital-dis-no-1-skagit-dba-skagit-valley-hospital_standardcharges.csv

Publication / Vintage3/26/2026 · 189.23 MB

Validated Rate Rows2,072 (CMS v3.0.0)

File Integrity Digest0bc95296a5046e02ed8e…

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