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Hospital Profile Critical Access Hospitals Government - Hospital District or Authority

Eastern Plumas Hospital - Portola Campus

500 1ST AVE, Portola, CA 96122

CMS Overall Rating No CMS Rating
Factual Overview

Eastern Plumas Hospital - Portola Campus is a Critical Access Hospitals (Government - Hospital District or Authority) operating in Portola, CA. Mapped commercial insurance prices across 73 procedures average 0.52x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 9 Beds Teaching Status: Non-Teaching Annual Discharges: 47

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 96 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 73 codes Avg Markup vs Medicare: 0.52x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $1,242 —
Upper endoscopy with biopsy
CPT Code: 43239
 $1,046 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,080 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,190 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,006 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,285 Calc
CT scan, sinuses
CPT Code: 70486
 $766 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $660 —
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,834 —
X-ray, chest (single view)
CPT Code: 71045
 $146 Calc
X-ray, chest (two views)
CPT Code: 71046
 $201 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,104 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $232 Calc
X-ray, lower back
CPT Code: 72110
 $336 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $893 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $915 —
MRI, lower back (no contrast)
CPT Code: 72148
 $1,137 —
X-ray, pelvis
CPT Code: 72170
 $130 —
CT scan, pelvis
CPT Code: 72192
 $1,085 —
X-ray, shoulder
CPT Code: 73030
 $170 Calc
X-ray, hand
CPT Code: 73130
 $173 Calc
X-ray, hip
CPT Code: 73502
 $270 Calc
X-ray, ankle
CPT Code: 73610
 $197 Calc
X-ray, foot
CPT Code: 73630
 $187 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,278 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,619 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,106 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $373 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $621 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $383 Calc
Ultrasound, pelvis
CPT Code: 76856
 $427 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $691 —
Screening mammogram (both breasts)
CPT Code: 77067
 $290 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $98 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $125 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $140 Calc
Blood test, liver function panel
CPT Code: 80076
 $76 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $66 Calc
Blood test, amylase
CPT Code: 82150
 $59 Calc
Blood test, vitamin D
CPT Code: 82306
 $132 Calc
Blood test, calcium
CPT Code: 82310
 $36 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $50 —
Blood test, vitamin B12
CPT Code: 82607
 $135 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $122 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $38 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $71 Calc
Blood test, lipase
CPT Code: 83690
 $68 Calc
Blood test, magnesium
CPT Code: 83735
 $62 Calc
Blood test, potassium
CPT Code: 84132
 $42 —
Blood test, PSA (prostate screen)
CPT Code: 84153
 $130 Calc
Blood test, sodium
CPT Code: 84295
 $44 —
Blood test, thyroid (TSH)
CPT Code: 84443
 $158 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $38 —
Blood test, hemoglobin
CPT Code: 85018
 $27 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $132 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $65 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $68 Calc
Hepatitis C antibody test
CPT Code: 86803
 $40 Calc
Blood antibody screen
CPT Code: 86850
 $74 Calc
Culture, blood
CPT Code: 87040
 $278 Calc
Culture, bacterial
CPT Code: 87070
 $65 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $63 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $557 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,584 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $791 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $200 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $186 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $86 —
Physical therapy (gait training)
CPT Code: 97116
 $74 —
Physical therapy (manual therapy)
CPT Code: 97140
 $138 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $97 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $83 —
Orthotic fitting and training
CPT Code: 97760
 $122 —