Coryell Memorial Hospital
1507 W Main Street, Gatesville, TX 76528 · 103 Priced Procedures · 85% Patient Recommendation
Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 0.98× fair market pricing.
Aligned Regional Benchmark Peer
Coryell Memorial Hospital prices shoppable and inpatient services (1.4× to 1.8× Medicare, divergence 1.29×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
- Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 85% patient recommendation (81/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.98× 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 (0.9×) & laboratory (2.7×) services average 1.29× higher multiples than routine shoppable care (1.4×)
- Upper-quartile procedures (Q75 1.33×) jump +46% above the median procedure ratio (Q50 0.91×)
- Consolidated metro market (HHI 5,012) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Coryell Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,586 | 0.8× |
| Inguinal hernia repair CPT Code: 49505 | $3,908 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $3,892 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,216 | 1.0× |
| Total hip replacement CPT Code: 27130 | $2,756 | 0.2× |
| Total knee replacement CPT Code: 27447 | $2,754 | 0.2× |
| Breast lump removal CPT Code: 19120 | $2,372 | 0.6× |
| Trauma team activation HCPCS Code: G0390 | $1,900 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,746 | 3.4× |
| Bunion correction surgery CPT Code: 28296 | $1,470 | 0.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,424 | 1.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,221 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,221 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,221 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $941 | 2.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $866 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $855 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $874 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $835 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $362 | 0.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $280 | 0.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $240 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $251 | 0.4× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $216 | 0.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $231 | unverified |
Audit a Bill or Quote at Coryell Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($8,876) Beats Your Bill
Coryell Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $8,876 (vs. $4,586 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($14,794) is $8,685 above the denoised Fair BaseRate ($6,109) and 2.4× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Coryell 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (150 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Coryell Memorial Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.