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Hospital Profile Critical Access Hospital Voluntary non-profit - Private 14 Beds · rural Updated: 2026-01-12

Christus Mother Frances Hospital- Winnsboro

719 West Coke Road, Winnsboro, TX 75494 · 36 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.44×vs. Fair Market Price
Position vs. 1.00× Fair Price+44% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).63/100 · Caution
63/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness56Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment45Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing66Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount50Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +70% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Christus Mother Frances Hospital- Winnsboro prices routine shoppable procedures at 2.1× Medicare (median 1.23× Fair BaseRate) while upper-quartile commercial rates jump +70% to 2.09× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#223 of 307 in TX · 72nd State Percentile#2,542 of 3,385 in U.S. · 75th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.77× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
  • CMS clinical safety score (54/100 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 (36.3% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
  • Commercial insurance median sits at 1.23× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.09×) jump +70% above the median procedure ratio (Q50 1.23×)
  • Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
2.1× Medicare

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

Back-Door Captive & ER0.57× Divergence
1.2× Medicare

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

Quantile Tail Spread+70% Upper Tail
Q25 0.77× · Q50 1.23× · Q75 2.09×

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
2.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.6× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.3× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
3.0× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
2.8× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 50/100Elevated
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Christus Mother Frances Hospital- Winnsboro

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 36 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
$29,339 1.0×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$18,654 1.0×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$17,925 0.9×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$17,200 1.0×
Total hip replacement
CPT Code: 27130
$12,585 0.9×
Total knee replacement
CPT Code: 27447
$12,585 0.9×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$7,418 0.9×
C-section delivery (full package)
CPT Code: 59510
$3,670 1.2×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$3,575 0.6×
Vaginal delivery (full package)
CPT Code: 59400
$3,310 1.2×
Sleep study (overnight, in lab)
CPT Code: 95810
$1,949 1.9×
Inguinal hernia repair
CPT Code: 49505
$1,934 0.5×
Knee arthroscopy with meniscus repair
CPT Code: 29881
$1,901 0.6×
Cataract surgery with lens implant
CPT Code: 66984
$1,740 0.7×
Bunion correction surgery
CPT Code: 28296
$1,648 0.5×
Breast lump removal
CPT Code: 19120
$1,583 0.4×
Injection procedure for pain management
HCPCS Code: G0260
$1,283 1.5×
Rabies immune globulin
HCPCS Code: 90375
$674 2.1×
Diagnostic mammogram (both breasts)
CPT Code: 77066
$341 2.3×
Screening mammogram (both breasts)
CPT Code: 77067
$282 2.3×
New patient office visit (30-44 min)
CPT Code: 99203
$305 unverified
Hepatitis B immune globulin
HCPCS Code: 90371
$268 1.8×
Physical therapy (manual therapy)
CPT Code: 97140
$131 3.9×
Neurobehavioral status check
CPT Code: 96116
$144 0.6×
Physical therapy (therapeutic exercise)
CPT Code: 97110
$144 unverified
Showing top 25 high-impact procedures of 36 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Christus Mother Frances Hospital- Winnsboro (Zero PHI Required)

CMS CCN: 451381
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash Request Quote
Insurer Median $29,339
Pre-filled with Christus Mother Frances Hospital- Winnsboro’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $25,532 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $25,532

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $25,532).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Christus Mother Frances Hospital- Winnsboro's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$39,639 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($70,414) is $39,639 above the denoised Fair BaseRate ($30,775) and 3.0× the $23,504 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: national_nonprofit_median

Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Christus Mother Frances Hospital- Winnsboro. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-07-25·administrative_or_closure

    Met Requirements

    Recorded
  • 2023-04-18·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare. 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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Christus Mother Frances Hospital- Winnsboro.

Price Index: 0.72× regional baseline
Quality: 54/100 CMS composite
Median Household Income$62,524U.S. Census ACS
Local Uninsured Share15.2%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 63/100 · Caution CMS CCN 451381

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-01-12
Validated Rate Rows576 (CMS v3.0.0)
File Integrity DigestVerified · CCN 451381

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.