How many shoppable procedure prices are published for Altus Houston Hospital, LP?

Altus Houston Hospital, LP in Houston, TX currently has 84 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Altus Houston Hospital, LP's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Altus Houston Hospital, LP's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 10 Beds · urban Updated: 2026-04-01

Altus Houston Hospital, LP

6011 W Sam Houston Pkwy South, Houston, TX 77072 · 84 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.40×vs. Fair Market Price

Typical commercial prices here are +40% above the fair benchmark (1.40×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness100

Price Logic78

Peer Alignment63

Clean Billing72

Real Cash Discount6

High-Markup · Check Safety

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

Altus Houston Hospital, LP prices routine shoppable procedures near 0.7× Medicare (p50 0.53×) while skewing captive emergency, lab, and upper-quartile codes to 0.9× Medicare (p75 1.04×, +96% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#215 of 307 in TX · 69th State Percentile#2,459 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.42× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% 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 1.1× markup over Medicare rates
Captive ER (0.4×) & laboratory (0.9×) services average 1.29× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.04×) jump +96% above the median procedure ratio (Q50 0.53×)
Unnegotiated chargemaster list prices average 20.7× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.29× Divergence

0.9× Medicare

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

Quantile Tail Spread+96% Upper Tail

Q25 0.42× · Q50 0.53× · Q75 1.04×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.1× MedicareGood

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

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Altus Houston Hospital, LP

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$98,193	$98,193	$19,432	5.1×
Total hip replacement CPT Code: `27130`	$39,791	$39,791	$13,413	3.0×
Total knee replacement CPT Code: `27447`	$35,370	$35,370	$13,523	2.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$11,827	$11,827	$448	26.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$10,697	$10,697	$303	35.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$10,265	$10,265	$511	20.1×
MRI, lower back (no contrast) CPT Code: `72148`	$8,385	$8,385	$338	24.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$8,000	$8,000	$169	47.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$6,490	$6,490	$168	38.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,101	$6,101	$258	23.6×
MRI, brain (no contrast) CPT Code: `70551`	$6,086	$6,086	$343	17.7×
MRI, knee or other leg joint CPT Code: `73721`	$6,086	$6,086	$369	16.5×
CT scan, head (with contrast) CPT Code: `70460`	$5,120	$5,120	$242	21.2×
CT scan, sinuses CPT Code: `70486`	$4,886	$4,886	$166	29.4×
CT scan, pelvis CPT Code: `72192`	$4,702	$4,702	$163	28.8×
CT scan, chest (no contrast) CPT Code: `71250`	$4,594	$4,594	$167	27.5×
CT scan, head (no contrast) CPT Code: `70450`	$4,514	$4,514	$160	28.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,866	$2,866	$132	21.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,866	$2,866	$134	21.4×
Rabies immune globulin HCPCS Code: `90375`	$2,748	$2,748	$322	8.5×
Ultrasound, pelvis CPT Code: `76856`	$2,204	$2,204	$130	17.0×
X-ray, lower back CPT Code: `72110`	$1,740	$1,740	$112	15.5×
Cataract surgery with lens implant CPT Code: `66984`	$32,812	$1,665	$2,540	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$46,269	$1,665	$6,109	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,594	$1,594	$126	12.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$27,605	$1,508	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$46,269	$1,508	$3,629	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$1,390	$1,390	$110	12.6×
Bunion correction surgery CPT Code: `28296`	$32,081	$1,232	$3,446	0.4×
Breast lump removal CPT Code: `19120`	$18,846	$1,232	$3,875	0.3×
X-ray, hip CPT Code: `73502`	$1,155	$1,155	$93	12.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$18,846	$1,058	$981	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$18,846	$1,058	$987	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$18,846	$1,058	$1,256	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$9,420	$924	$855	1.1×
X-ray, chest (two views) CPT Code: `71046`	$839	$839	$93	9.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$713	$713	$93	7.7×
X-ray, shoulder CPT Code: `73030`	$687	$687	$92	7.5×
X-ray, foot CPT Code: `73630`	$669	$669	$92	7.3×
X-ray, hand CPT Code: `73130`	$669	$669	$93	7.2×
X-ray, ankle CPT Code: `73610`	$669	$669	$93	7.2×
X-ray, chest (single view) CPT Code: `71045`	$660	$660	$92	7.2×
X-ray, pelvis CPT Code: `72170`	$684	$684	$110	6.2×
Blood transfusion CPT Code: `36430`	$685	$685	$498	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$324	$210	$201	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$156	$156	$35	4.5×
Physical therapy (manual therapy) CPT Code: `97140`	$136	$136	$34	4.0×
Occupational therapy (self-care training) CPT Code: `97535`	$151	$151	$38	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$124	$124	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$127	$40	3.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,308	$143	$272	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$150	$150	$86	unverified
Physical therapy (gait training) CPT Code: `97116`	$118	$118	$33	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$713	$713	$11	64.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$447	$447	$19	23.5×
Blood test, vitamin D CPT Code: `82306`	$467	$467	$31	15.1×
Blood test, basic metabolic panel CPT Code: `80048`	$381	$381	$9	42.3×
Culture, blood CPT Code: `87040`	$378	$378	$11	34.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$403	$403	$14	28.8×
Blood test, liver function panel CPT Code: `80076`	$374	$374	$9	41.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$364	$364	$14	26.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$346	$346	$18	19.2×
Blood test, amylase CPT Code: `82150`	$292	$292	$7	41.7×
Culture, bacterial CPT Code: `87070`	$301	$301	$9	33.4×
Blood test, vitamin B12 CPT Code: `82607`	$310	$310	$16	19.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$268	$268	$8	33.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$283	$283	$10	28.3×
Hepatitis C antibody test CPT Code: `86803`	$271	$271	$15	18.1×
Blood antibody screen CPT Code: `86850`	$249	$249	$46	5.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$218	$218	$4	54.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$198	$198	$5	39.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$212	$212	$6	35.3×
Blood test, magnesium CPT Code: `83735`	$207	$207	$7	29.6×
Blood test, lipase CPT Code: `83690`	$201	$201	$7	28.7×
Blood test, potassium CPT Code: `84132`	$171	$171	$5	34.2×
Blood test, hemoglobin CPT Code: `85018`	$134	$134	$3	44.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$122	$122	$3	40.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$144	$144	$4	36.0×
Blood test, calcium CPT Code: `82310`	$116	$116	$5	23.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$105	$105	$5	21.0×
Blood test, sodium CPT Code: `84295`	$92	$92	$5	18.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$442	$11	$25	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$558	$11	$64	unverified

Showing top 25 high-impact procedures of 84 total

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

Audit a Bill or Quote at Altus Houston Hospital, LP (Zero PHI Required)

CMS CCN: 670135

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $98,193

Insurer Median $98,193

1. Amount on Your Bill or Quote ($) Pre-filled with Altus Houston Hospital, LP’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: $98,193

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Altus Houston Hospital, LP's published 45 CFR § 180 self-pay cash rate is $98,193 (vs. $98,193 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$78,761 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($98,193) is $78,761 above the denoised Fair BaseRate ($19,432) and 7.0× the $14,044 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: 474624853

Public IRS & CMS ownership records classify Altus Houston Hospital, LP 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Altus Houston Hospital, LP.

Price Index: 3.53× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-80.7%

Median Household Income$73,104U.S. Census ACS

Local Uninsured Share21.2%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 67/100 · Caution CMS CCN 670135 EIN 474624853

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670135) ↗ Verify IRS Form 990 (EIN 474624853) ↗ CMS HCRIS Cost Reports ↗

Published MRF File474624853_west-chase-houston-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 9.75 MB

Validated Rate Rows325 (CMS v3.0.0)

File Integrity Digestdfc8d8d07a83a1df91d7…

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.

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