Dr Dan C Trigg Memorial Hospital
301 East Miel De Luna Avenue, Tucumcari, NM 88401 · 117 Priced Procedures
Typical commercial prices here are +340% above the fair benchmark (4.40×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Dr Dan C Trigg Memorial Hospital prices routine shoppable procedures near 4.5× Medicare (p50 3.76×) while skewing captive emergency, lab, and upper-quartile codes to 10.0× Medicare (p75 6.12×, +63% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.82× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.8× markup over Medicare rates
- Captive ER (1.7×) & laboratory (1.9×) services average 2.22× higher multiples than routine shoppable care (4.5×)
- Upper-quartile procedures (Q75 6.12×) jump +63% above the median procedure ratio (Q50 3.76×)
- Unnegotiated chargemaster list prices average 9.0× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Dr Dan C Trigg Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $50,650 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $32,209 | 1.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $30,949 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $13,999 | unverified |
| Breast lump removal CPT Code: 19120 | $12,791 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $12,748 | 1.6× |
| Bunion correction surgery CPT Code: 28296 | $10,207 | 3.0× |
| C-section delivery (full package) CPT Code: 59510 | $10,073 | 3.4× |
| Vaginal delivery (full package) CPT Code: 59400 | $8,894 | 3.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $4,030 | 3.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,710 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,876 | 2.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,696 | 6.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,179 | 2.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,197 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,839 | 1.3× |
| Blood transfusion CPT Code: 36430 | $1,808 | 3.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,599 | 3.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,480 | 6.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,332 | 7.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,277 | 4.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,274 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,157 | 3.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,096 | 6.5× |
| CT scan, pelvis CPT Code: 72192 | $1,069 | 6.6× |
Audit a Bill or Quote at Dr Dan C Trigg Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $24,032
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.8% of gross = $24,032).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Dr Dan C Trigg 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.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($121,560) is $90,785 above the denoised Fair BaseRate ($30,775) and 5.2× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (19.8% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Dr Dan C Trigg Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.