How many shoppable procedure prices are published for Comanche County Medical Center?

Comanche County Medical Center in Comanche, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Comanche County Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Comanche County Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Comanche County Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Comanche County Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 2026-07-14

Comanche County Medical Center

10201 Hwy 16, Comanche, TX 76442 · 107 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.28×vs. Fair Market Price

Typical commercial prices here are +28% above the fair benchmark (1.28×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness90

Price Logic60

Peer Alignment58

Clean Billing67

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.28× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Comanche County Medical Center prices routine shoppable procedures near 1.0× Medicare (p50 0.99×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 2.24×, +126% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#197 of 307 in TX · 63rd State Percentile#2,210 of 3,385 in U.S. · 65th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.25× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 78% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (47.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.28× 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.
Captive ER (0.5×) & laboratory (1.4×) services average 2.00× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 2.24×) jump +126% above the median procedure ratio (Q50 0.99×)
Unnegotiated chargemaster list prices average 5.9× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER2.00× Divergence

2.0× Medicare

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

Quantile Tail Spread+126% Upper Tail

Q25 0.25× · Q50 0.99× · Q75 2.24×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

0.5× MedicareGood

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

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Comanche County Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	$11,967	$12,044	$19,087	0.6×
Total hip replacement CPT Code: `27130`	$11,617	$11,617	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$9,222	$9,222	$13,523	0.7×
Inguinal hernia repair CPT Code: `49505`	$7,722	$7,722	$3,629	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,004	$5,004	$3,372	1.5×
Rabies immune globulin HCPCS Code: `90375`	$4,895	$4,895	$322	15.2×
Bunion correction surgery CPT Code: `28296`	$4,910	$4,910	$3,446	1.4×
Breast lump removal CPT Code: `19120`	$4,869	$4,869	$3,875	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,650	$4,650	$6,109	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,298	$4,497	$8,223	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$3,953	$3,953	$2,540	1.6×
Trauma team activation HCPCS Code: `G0390`	$1,583	$1,583	$1,453	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$1,556	$1,556	$855	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$771	$771	$583	1.3×
Blood transfusion CPT Code: `36430`	$620	$620	$498	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$452	$452	$272	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$444	$444	$448	1.0×
X-ray, pelvis CPT Code: `72170`	$230	$230	$110	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$235	$235	$132	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$194	$187	$86	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$149	$210	$123	1.7×
X-ray, lower back CPT Code: `72110`	$167	$167	$112	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$113	$137	$87	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,300	$161	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,390	$174	$1,256	0.1×
X-ray, chest (two views) CPT Code: `71046`	$121	$121	$93	1.3×
X-ray, hip CPT Code: `73502`	$120	$120	$93	1.3×
X-ray, shoulder CPT Code: `73030`	$109	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$108	$108	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$101	$101	$93	1.1×
X-ray, chest (single view) CPT Code: `71045`	$99	$99	$92	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$698	$108	$511	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,064	$121	$987	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$124	$124	$86	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$73	$86	$35	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$62	$93	$38	2.4×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$80	$34	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$79	$89	$38	2.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$112	$89	$38	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$93	$40	2.3×
X-ray, hand CPT Code: `73130`	$91	$91	$93	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$88	$88	$110	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$394	$83	$303	0.3×
X-ray, ankle CPT Code: `73610`	$98	$98	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$900	$900	$347	2.6×
Blood test, liver function panel CPT Code: `80076`	$138	$138	$9	15.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$132	$132	$20	6.6×
Drug screening test HCPCS Code: `G0480`	$229	$140	$116	1.2×
Hepatitis C antibody test CPT Code: `86803`	$104	$104	$15	6.9×
Blood test, vitamin B12 CPT Code: `82607`	$88	$88	$16	5.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$59	$59	$14	4.2×
Physical therapy (gait training) CPT Code: `97116`	$71	$76	$33	2.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$99	$99	$56	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$116	$116	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$95	$95	$140	0.7×
Blood test, sodium CPT Code: `84295`	$46	$46	$5	9.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$59	$59	$10	5.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$62	$14	4.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$73	$19	3.8×
Blood test, vitamin D CPT Code: `82306`	$104	$65	$31	2.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$68	$68	$39	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$63	$83	$48	1.7×
Blood test, calcium CPT Code: `82310`	$39	$39	$5	7.8×
Colorectal cancer screening HCPCS Code: `G0010`	$61	$61	$49	1.2×
Blood test, magnesium CPT Code: `83735`	$31	$31	$7	4.4×
Blood test, amylase CPT Code: `82150`	$29	$29	$7	4.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$42	$39	$14	2.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$48	$25	1.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$48	$48	$49	1.0×
CT scan, pelvis CPT Code: `72192`	$347	$51	$163	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$255	$46	$148	0.3×
CT scan, chest (no contrast) CPT Code: `71250`	$346	$51	$167	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$350	$47	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$342	$47	$169	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$430	$70	$338	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$374	$70	$343	0.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$25	$5	5.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$81	$19	$8	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$25	$11	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$48	$20	$9	2.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$70	$40	$18	2.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$56	$14	$6	2.3×
Culture, blood CPT Code: `87040`	$136	$25	$11	2.3×
Speech therapy (group session) CPT Code: `92508`	$40	$40	$27	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$46	$37	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$200	$35	$123	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$200	$37	$134	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$325	$40	$160	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$446	$49	$201	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$8	$3	2.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$9	$4	2.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$46	$11	$5	2.2×
Ultrasound, pelvis CPT Code: `76856`	$186	$32	$130	0.2×
CT scan, sinuses CPT Code: `70486`	$408	$40	$166	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$502	$60	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$422	$53	$242	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$357	$64	$369	0.2×
Blood test, hemoglobin CPT Code: `85018`	$41	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$70	$9	$5	1.8×
Culture, bacterial CPT Code: `87070`	$105	$16	$9	1.8×
Blood test, lipase CPT Code: `83690`	$46	$12	$7	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$48	$27	$35	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$43	$15	$25	0.6×
Blood antibody screen CPT Code: `86850`	$129	$21	$46	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$161	$22	$64	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$195	$27	$126	0.2×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 47.0%

Audit a Bill or Quote at Comanche County Medical Center (Zero PHI Required)

CMS CCN: 451382

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $11,967

Insurer Median $12,044

1. Amount on Your Bill or Quote ($) Pre-filled with Comanche County Medical Center’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: $8,645 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,645

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (47.0% of gross = $8,645).

Step 2 · Cash vs. Insurance Arbitrage Save $6,443 Paying Cash

Self-Pay Cash Rate ($11,967) Beats Your Bill

Comanche County Medical Center's published 45 CFR § 180 self-pay cash rate is $11,967 (vs. $12,044 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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 (47.0% 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 Composite72/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait102 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Comanche County Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-21·administrative_or_closure
Met Requirements
Recorded
2023-01-13·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (62 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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Comanche County Medical Center.

Price Index: 0.90× regional baseline

Quality: 59/100 CMS composite

Median Household Income$59,946U.S. Census ACS

Local Uninsured Share17.9%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 74/100 · Corroborated CMS CCN 451382

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 451382) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-14 · 53.88 MB

Validated Rate Rows2,670 (CMS v3.0.0)

File Integrity Digest787996360f45cdf59e40…

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

Comanche County Medical Center

Loss-Leader / Captive Ancillary Cross-Subsidizer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Comanche County Medical Center

Audit a Bill or Quote at Comanche County Medical Center (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $8,645

Self-Pay Cash Rate ($11,967) Beats Your Bill

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

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

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