How many shoppable procedure prices are published for Lbj Tropical Medical Center?

Lbj Tropical Medical Center in Pago Pago, AS currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority Updated: 04/01/2026

Lbj Tropical Medical Center

Fagaalu Village, P O Box Lbj, Pago Pago, AS 96799 · 116 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic59

Peer Alignment65

Clean Billing84

Real Cash Discount12

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Lbj Tropical Medical Center prices routine shoppable procedures near 2.6× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 4.7× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in ASU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 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

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (3.8×) & laboratory (5.4×) services average 1.81× higher multiples than routine shoppable care (2.6×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER1.81× Divergence

4.7× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.8× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

5.4× MedicareWatchout

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

1.7× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Lbj Tropical Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$4,055	$4,055	$2,975	1.4×
Vaginal delivery (full package) CPT Code: `59400`	$3,673	$3,673	$2,680	1.4×
Bunion correction surgery CPT Code: `28296`	$3,012	$3,012	$3,446	0.9×
Inguinal hernia repair CPT Code: `49505`	$3,003	$3,003	$3,629	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,506	$2,506	$3,372	0.7×
Total hip replacement CPT Code: `27130`	$2,214	$2,214	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,213	$2,213	$13,523	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,108	$2,108	$2,540	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,344	$1,344	$855	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,291	$1,291	$1,021	1.3×
Breast lump removal CPT Code: `19120`	$1,048	$1,048	$3,875	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$905	$905	$981	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$915	$915	$1,256	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$872	$872	$583	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$832	$832	$987	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$823	$823	$6,109	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$767	$767	$448	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$709	$709	$511	1.4×
Rabies immune globulin HCPCS Code: `90375`	$495	$495	$322	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$422	$422	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$425	$425	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$430	$430	$369	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$393	$393	$167	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$392	$392	$258	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$379	$379	$272	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$329	$329	$201	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$345	$345	$242	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$290	$290	$185	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$280	$280	$181	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$229	$229	$35	6.5×
Review of medical records for care CPT Code: `90889`	$250	$250	$114	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$216	$216	$64	3.4×
Screening mammogram (both breasts) CPT Code: `77067`	$224	$224	$123	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$235	$235	$151	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$217	$217	$148	1.5×
CT scan, sinuses CPT Code: `70486`	$240	$240	$166	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$256	$256	$303	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$212	$212	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$215	$215	$134	1.6×
Ultrasound, pelvis CPT Code: `76856`	$208	$208	$130	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$195	$195	$126	1.5×
CT scan, pelvis CPT Code: `72192`	$214	$214	$163	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$211	$211	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$212	$212	$169	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$195	$195	$160	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$187	$187	$166	1.1×
Family therapy session CPT Code: `90847`	$188	$188	$173	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$130	$130	$86	1.5×
Care planning with family CPT Code: `90887`	$153	$153	$107	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$123	$123	$93	1.3×
X-ray, ankle CPT Code: `73610`	$121	$121	$93	1.3×
X-ray, shoulder CPT Code: `73030`	$119	$119	$92	1.3×
X-ray, lower back CPT Code: `72110`	$131	$131	$112	1.2×
X-ray, pelvis CPT Code: `72170`	$114	$114	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$123	$123	$123	1.0×
X-ray, hip CPT Code: `73502`	$93	$93	$93	1.0×
Blood transfusion CPT Code: `36430`	$118	$118	$498	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$83	$83	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$103	$103	$110	0.9×
X-ray, hand CPT Code: `73130`	$85	$85	$93	0.9×
X-ray, foot CPT Code: `73630`	$83	$83	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$83	$83	$93	0.9×
Group therapy session CPT Code: `90853`	$81	$81	$100	0.8×
Typhoid vaccine HCPCS Code: `90675`	$448	$448	$347	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$275	$275	$5	55.0×
Blood test, lipase CPT Code: `83690`	$255	$255	$7	36.4×
Blood test, vitamin D CPT Code: `82306`	$255	$255	$31	8.2×
Culture, bacterial CPT Code: `87070`	$173	$173	$9	19.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$140	$140	$14	10.0×
Blood test, vitamin B12 CPT Code: `82607`	$130	$130	$16	8.1×
Blood antibody screen CPT Code: `86850`	$152	$152	$46	3.3×
Pneumococcal vaccine HCPCS Code: `90732`	$151	$151	$140	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$164	$164	$203	0.8×
Culture, blood CPT Code: `87040`	$92	$92	$11	8.4×
Hepatitis C antibody test CPT Code: `86803`	$114	$114	$15	7.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$98	$98	$18	5.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$92	$92	$19	4.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$107	$107	$49	2.2×
Colorectal cancer screening HCPCS Code: `G0010`	$107	$107	$49	2.2×
Blood test, calcium CPT Code: `82310`	$57	$57	$5	11.4×
Blood test, amylase CPT Code: `82150`	$57	$57	$7	8.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$80	$80	$11	7.3×
Blood test, basic metabolic panel CPT Code: `80048`	$63	$63	$9	7.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	5.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$50	$50	$20	2.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$46	$46	$27	1.7×
Prosthetic fitting and training CPT Code: `97761`	$67	$67	$45	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$88	$88	$111	0.8×
X-ray, chest (single view) CPT Code: `71045`	$69	$69	$92	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$27	$3	9.0×
Blood test, potassium CPT Code: `84132`	$39	$39	$5	7.8×
Occupational therapy (self-care training) CPT Code: `97535`	$61	$61	$38	1.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	7.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$35	$5	7.0×
Blood test, sodium CPT Code: `84295`	$30	$30	$5	6.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$35	$6	5.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$55	$55	$25	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$55	$55	$34	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$55	$35	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$58	$58	$38	1.5×
Blood test, magnesium CPT Code: `83735`	$28	$28	$7	4.0×
Physical therapy (gait training) CPT Code: `97116`	$52	$52	$33	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$60	$40	1.5×
Speech therapy (group session) CPT Code: `92508`	$40	$40	$27	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$56	$38	1.5×
Orthotic fitting and training CPT Code: `97760`	$75	$75	$51	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$65	$65	$48	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$48	$48	$37	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$39	$39	$56	0.7×
Blood test, hemoglobin CPT Code: `85018`	$6	$6	$3	2.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$16	$14	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$20	$20	$39	0.5×

Showing top 25 high-impact procedures of 116 total

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

Audit a Bill or Quote at Lbj Tropical Medical Center (Zero PHI Required)

CMS CCN: 640001

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $4,055

Insurer Median $4,055

1. Amount on Your Bill or Quote ($) Pre-filled with Lbj Tropical Medical Center’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 Published Cash: $4,055

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Lbj Tropical Medical Center's published 45 CFR § 180 self-pay cash rate is $4,055 (vs. $4,055 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,080 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($4,055) is $1,080 above the denoised Fair BaseRate ($2,975) and 1.6× the $2,473 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 Lbj Tropical Medical 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lbj Tropical Medical Center.

Price Index: 1.00× regional baseline

Quality: 54/100 CMS composite

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 58/100 · Caution CMS CCN 640001

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 640001) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows588 (CMS v3.0.0)

File Integrity DigestVerified · CCN 640001

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