How many shoppable procedure prices are published for Baptist Beaumont Hospital?

Baptist Beaumont Hospital in Beaumont, TX currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baptist Beaumont Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baptist Beaumont Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Baptist Beaumont Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Baptist Beaumont Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 338 Beds · rural Updated: 2026-02-03

Baptist Beaumont Hospital

3080 College Street, Beaumont, TX 77701 · 101 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.23×vs. Fair Market Price

Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness60

Price Logic95

Peer Alignment72

Clean Billing95

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.23× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,961), Baptist Beaumont Hospital commands a 1.23× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#173 of 307 in TX · 56th State Percentile#2,089 of 3,385 in U.S. · 61st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.01× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 69% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (2.1×) & laboratory (2.3×) services average 1.08× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.41×) jump +19% above the median procedure ratio (Q50 1.18×)
Consolidated metro market (HHI 3,961) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.4× Medicare

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

Quantile Tail Spread+19% Upper Tail

Q25 1.01× · Q50 1.18× · Q75 1.41×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.8× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Baptist Beaumont Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,104	$17,949	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$13,887	$16,661	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$20,442	$15,574	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,099	$6,264	$8,223	0.8×
Trauma team activation HCPCS Code: `G0390`	$720	$1,540	$1,453	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,359	$992	$1,021	1.0×
Blood transfusion CPT Code: `36430`	$125	$709	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,226	$631	$583	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,382	$526	$448	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,493	$526	$511	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,215	$360	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$732	$360	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,102	$360	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,128	$360	$303	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$102	$253	$201	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$531	$264	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$754	$264	$258	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$543	$276	$272	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$307	$219	$148	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$67	$205	$166	1.2×
Family therapy session CPT Code: `90847`	$82	$205	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$76	$205	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$72	$205	$185	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$197	$176	$123	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$347	$158	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$337	$158	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$329	$158	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$343	$158	$134	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$62	$154	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$500	$158	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$474	$158	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$501	$158	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$526	$158	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$532	$158	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$539	$158	$169	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$100	$101	$86	1.2×
Group therapy session CPT Code: `90853`	$86	$117	$100	1.2×
X-ray, shoulder CPT Code: `73030`	$183	$94	$92	1.0×
X-ray, ankle CPT Code: `73610`	$271	$94	$93	1.0×
X-ray, lower back CPT Code: `72110`	$424	$113	$112	1.0×
X-ray, hip CPT Code: `73502`	$192	$93	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$255	$90	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$257	$105	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$157	$87	$92	0.9×
X-ray, foot CPT Code: `73630`	$269	$87	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$286	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	$312	$87	$93	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$70	$95	$123	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$68	$80	$110	0.7×
Typhoid vaccine HCPCS Code: `90675`	$290	$361	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$48	$132	$116	1.1×
Orthotic fitting and training CPT Code: `97760`	$23	$65	$51	1.3×
Prosthetic fitting and training CPT Code: `97761`	$18	$57	$45	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$12	$48	$38	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$173	$68	$64	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$68	$68	$111	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$82	$82	$140	0.6×
Blood test, vitamin D CPT Code: `82306`	$104	$44	$31	1.4×
Physical therapy (gait training) CPT Code: `97116`	$32	$42	$33	1.3×
Speech therapy (group session) CPT Code: `92508`	$17	$34	$27	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$23	$44	$35	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$47	$50	$40	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$34	$47	$38	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$45	$45	$37	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$48	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$59	$42	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$38	$40	$34	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$16	$54	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$54	$49	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$65	$65	$87	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$79	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$50	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$60	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$57	$15	$10	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$61	$9	$6	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$94	$28	$19	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$89	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$13	$9	1.4×
Culture, bacterial CPT Code: `87070`	$90	$13	$9	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$106	$23	$16	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$20	$14	1.4×
Blood test, amylase CPT Code: `82150`	$89	$10	$7	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$20	$14	1.4×
Blood test, lipase CPT Code: `83690`	$103	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$39	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$39	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$38	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$75	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$25	$18	1.4×
Culture, blood CPT Code: `87040`	$142	$15	$11	1.4×
Blood test, liver function panel CPT Code: `80076`	$58	$12	$9	1.3×
Blood test, hemoglobin CPT Code: `85018`	$24	$4	$3	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$73	$18	$14	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$48	$6	$5	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$98	$22	$20	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$27	$27	$39	0.7×
Blood antibody screen CPT Code: `86850`	$52	$15	$46	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$6	$6	$86	unverified

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.6%

Audit a Bill or Quote at Baptist Beaumont Hospital (Zero PHI Required)

CMS CCN: 450346

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $13,104

Insurer Median $17,949

1. Amount on Your Bill or Quote ($) Pre-filled with Baptist Beaumont Hospital’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 501(r) AGB Cap: $17,731 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $17,731

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.6% of gross = $17,731).

Step 2 · Cash vs. Insurance Arbitrage Save $87,696 Paying Cash

Self-Pay Cash Rate ($13,104) Beats Your Bill

Baptist Beaumont Hospital's published 45 CFR § 180 self-pay cash rate is $13,104 (vs. $17,949 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$81,713 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($100,800) is $81,713 above the denoised Fair BaseRate ($19,087) and 7.1× the $14,117 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (17.6% 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.

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

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait209 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,399 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

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

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Beaumont Hospital.

Price Index: 1.03× regional baseline

Quality: 50/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-55.8%

Signature Health - All Plans

+70.0%

Humana

+130.2%

Median Household Income$59,934U.S. Census ACS

Local Uninsured Share21.3%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 84/100 · Corroborated CMS CCN 450346

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

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 450346) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-02-03 · 106.06 MB

Validated Rate Rows4,502 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450346

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