How many shoppable procedure prices are published for Coon Memorial Hospital?

Coon Memorial Hospital in Dalhart, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Coon Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Coon Memorial Hospital's median negotiated commercial rate is 2.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 21 Beds · rural Updated: 2/26/2025

Coon Memorial Hospital

1411 Denver Avenue, Dalhart, TX 79022 · 107 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.50×vs. Fair Market Price

Typical commercial prices here are +150% above the fair benchmark (2.50×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness48

Price Logic84

Peer Alignment72

Clean Billing74

Real Cash Discount6

High-Markup · Check Safety

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Coon Memorial Hospital prices shoppable and inpatient services (3.9× to 0.8× Medicare, divergence 0.21×) in alignment with regional hospital peers (2.50× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#289 of 307 in TX · 93rd State Percentile#3,251 of 3,385 in U.S. · 96th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.45× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 74% 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 2.2× markup over Medicare rates
Commercial insurance median sits at 2.63× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.0× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 5.3× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.9× Medicare

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

Back-Door Captive & ER0.21× Divergence

0.8× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 1.45× · Q50 2.63× · Q75 2.94×

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

3.9× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

7.0× MedicareWatchout

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

2.0× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Coon Memorial Hospital

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
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,018	$19,432	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$10,834	$19,087	0.6×
C-section delivery (full package) CPT Code: `59510`	$5,775	$5,775	$2,975	1.9×
Total hip replacement CPT Code: `27130`	$5,665	$5,665	$13,413	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,433	$8,223	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,244	$3,244	$1,021	3.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,172	$3,172	$3,372	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$2,924	$2,924	$2,680	1.1×
Breast lump removal CPT Code: `19120`	$2,500	$2,500	$3,875	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,271	$2,271	$6,109	0.4×
Inguinal hernia repair CPT Code: `49505`	$2,225	$2,225	$3,629	0.6×
Injection procedure for pain management HCPCS Code: `G0260`	$2,035	$2,035	$855	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,778	$1,778	$981	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,753	$1,753	$987	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,700	$1,700	$583	2.9×
Trauma team activation HCPCS Code: `G0390`	$1,586	$1,586	$1,453	1.1×
Bunion correction surgery CPT Code: `28296`	$1,566	$1,566	$3,446	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,249	$1,249	$1,256	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,519	$953	$338	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,519	$953	$343	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,265	$953	$369	2.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,659	$953	$511	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$767	$767	$272	2.8×
CT scan, pelvis CPT Code: `72192`	$1,079	$697	$163	4.3×
CT scan, head (no contrast) CPT Code: `70450`	$929	$649	$160	4.1×
CT scan, sinuses CPT Code: `70486`	$924	$649	$166	3.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,300	$649	$167	3.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,096	$649	$168	3.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,096	$649	$169	3.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,000	$649	$242	2.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,233	$649	$258	2.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,009	$649	$303	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,458	$649	$448	1.4×
Blood transfusion CPT Code: `36430`	$553	$553	$498	1.1×
Total knee replacement CPT Code: `27447`	$576	$576	$13,523	0.0×
Screening mammogram (both breasts) CPT Code: `77067`	$450	$450	$123	3.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$450	$450	$134	3.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$400	$400	$126	3.2×
X-ray, lower back CPT Code: `72110`	$350	$350	$112	3.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$361	$361	$166	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$306	$306	$123	2.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$325	$325	$181	1.8×
Group therapy session CPT Code: `90853`	$258	$258	$100	2.6×
Ultrasound, pelvis CPT Code: `76856`	$282	$282	$130	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$228	$228	$64	3.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$250	$250	$93	2.7×
X-ray, foot CPT Code: `73630`	$238	$238	$92	2.6×
X-ray, hand CPT Code: `73130`	$213	$213	$93	2.3×
X-ray, shoulder CPT Code: `73030`	$200	$200	$92	2.2×
X-ray, ankle CPT Code: `73610`	$197	$197	$93	2.1×
X-ray, chest (two views) CPT Code: `71046`	$181	$181	$93	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$204	$204	$132	1.5×
X-ray, hip CPT Code: `73502`	$156	$156	$93	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$162	$145	$87	1.7×
X-ray, chest (single view) CPT Code: `71045`	$147	$147	$92	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$187	$145	$110	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$163	$163	$201	0.8×
X-ray, pelvis CPT Code: `72170`	$137	$137	$110	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$105	$100	$34	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$170	$100	$35	2.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$165	$100	$38	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$96	$96	$38	2.5×
Speech therapy (language evaluation) CPT Code: `92507`	$273	$100	$86	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$358	$358	$111	3.2×
Culture, blood CPT Code: `87040`	$303	$303	$11	27.5×
Blood test, vitamin D CPT Code: `82306`	$272	$272	$31	8.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$214	$214	$11	19.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$203	$203	$56	3.6×
Drug screening test HCPCS Code: `G0480`	$161	$161	$116	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$121	$121	$5	24.2×
Blood test, liver function panel CPT Code: `80076`	$139	$139	$9	15.4×
Blood test, basic metabolic panel CPT Code: `80048`	$127	$127	$9	14.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$95	$8	11.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$119	$119	$14	8.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$118	$118	$19	6.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$118	$118	$20	5.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$90	$90	$10	9.0×
Blood test, vitamin B12 CPT Code: `82607`	$114	$114	$16	7.1×
Flu vaccine injection HCPCS Code: `G0008`	$134	$134	$48	2.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$101	$101	$18	5.6×
Hepatitis B vaccine HCPCS Code: `90744`	$119	$119	$37	3.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$114	$114	$39	2.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$134	$134	$49	2.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$90	$14	6.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$53	$53	$3	17.7×
Blood test, amylase CPT Code: `82150`	$67	$67	$7	9.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$54	$6	9.0×
Blood test, magnesium CPT Code: `83735`	$57	$57	$7	8.1×
Culture, bacterial CPT Code: `87070`	$72	$72	$9	8.0×
Hepatitis C antibody test CPT Code: `86803`	$78	$78	$15	5.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$48	$48	$14	3.4×
Physical therapy (gait training) CPT Code: `97116`	$61	$61	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$66	$40	1.6×
Prosthetic fitting and training CPT Code: `97761`	$73	$73	$45	1.6×
Orthotic fitting and training CPT Code: `97760`	$73	$73	$51	1.4×
Blood antibody screen CPT Code: `86850`	$63	$63	$46	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$74	$74	$140	0.5×
Blood test, hemoglobin CPT Code: `85018`	$27	$27	$3	9.0×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$32	$4	8.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	8.0×
Blood test, lipase CPT Code: `83690`	$52	$52	$7	7.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, potassium CPT Code: `84132`	$32	$32	$5	6.4×
Blood test, sodium CPT Code: `84295`	$32	$32	$5	6.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$29	$29	$38	0.8×

Showing top 25 high-impact procedures of 107 total

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

Audit a Bill or Quote at Coon Memorial Hospital (Zero PHI Required)

CMS CCN: 451331

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $11,018

1. Amount on Your Bill or Quote ($) Pre-filled with Coon Memorial 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 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Coon Memorial Hospital'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 +$7,011 Above Fair BaseRate

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

Your bill ($26,443) is $7,011 above the denoised Fair BaseRate ($19,432) and 1.9× 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)

Public IRS & CMS ownership records classify Coon Memorial Hospital 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite67/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait192 min

Left ER Before Seen0%

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (51 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 Coon Memorial Hospital.

Price Index: 0.79× regional baseline

Quality: 58/100 CMS composite

Median Household Income$82,122U.S. Census ACS

Local Uninsured Share14.1%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 59/100 · Caution CMS CCN 451331

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 451331) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage2/26/2025 · 21.20 MB

Validated Rate Rows48 (CMS v2.0.0)

File Integrity DigestVerified · CCN 451331

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