Ad Hospital East, LLC
12950 East Freeway, Suite 100, Houston, TX 77015 · 66 Priced Procedures · 58% Patient Recommendation
Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader
Ad Hospital East, LLC maintains disciplined commercial pricing across both elective shoppable care (1.6× Medicare) and captive emergency/ancillary departments (1.1× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.88× Fair BaseRate) without hidden ancillary cross-subsidization.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (63/100 safety score) with 58% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.88× 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 0.97× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.13×) jump +16% above the median procedure ratio (Q50 0.97×)
- Unnegotiated chargemaster list prices average 16.7× 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 Ad Hospital East, LLC
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 66 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $87,692 | 10.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,705 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,200 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,623 | 1.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $625 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $505 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $500 | 0.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $397 | 1.5× |
| Blood transfusion CPT Code: 36430 | $393 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $403 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $351 | 1.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $363 | 1.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $318 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $332 | 1.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $300 | 2.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $312 | 0.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $232 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $192 | 1.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $171 | 1.0× |
| Ultrasound, pelvis CPT Code: 76856 | $132 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $151 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $116 | 1.3× |
| X-ray, pelvis CPT Code: 72170 | $137 | 1.2× |
| CT scan, pelvis CPT Code: 72192 | $154 | 0.9× |
| X-ray, foot CPT Code: 73630 | $102 | 1.1× |
Audit a Bill or Quote at Ad Hospital East, LLC (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ad Hospital East, LLC's published 45 CFR § 180 self-pay cash rate is $87,692 (vs. $87,692 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your bill ($87,692) is $79,469 above the denoised Fair BaseRate ($8,223) and 15.4× the $5,676 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Ad Hospital East, LLC 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Ad Hospital East, LLC. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-08·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (60 completed HCAHPS patient surveys). 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 Ad Hospital East, LLC.
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.