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Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · urban Updated: 2026-08-27

Coryell Memorial Hospital

1507 W Main Street, Gatesville, TX 76528 · 103 Priced Procedures · 85% Patient Recommendation

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.Near Fair BaseRate Benchmark
0.98×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 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 match the fair market benchmark (0.98×) 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).83/100 · Corroborated
83/100Self-Pay Cash Beats Insurance 61% of the Time
File Completeness100Provenance (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 Logic68Coherence (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 Alignment64Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing85Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash 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.Regional Value Leader
CMS Star Rating5/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score81/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait132 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

5-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

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.

#70 of 307 in TX · 22nd State Percentile#1,204 of 3,385 in U.S. · 35th National Percentile
Advantage

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
Watchout

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))
Front-Door ShoppableElective / Imaging
1.4× Medicare

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

Back-Door Captive & ER1.29× Divergence
1.8× Medicare

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

Quantile Tail Spread+46% Upper Tail
Q25 0.51× · Q50 0.91× · Q75 1.33×

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
1.4× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.9× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.9× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.7× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.6× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
61% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
5 CMS · 81/100Good

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.

Sort:
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
Showing top 25 high-impact procedures of 103 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 451379
CPT 47562
Fair BaseRate™ $6,109
Medicare Rate $6,176
Self-Pay Cash $8,876
Insurer Median $4,586
Pre-filled with Coryell Memorial Hospital’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 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 Save $5,918 Paying Cash

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.

Step 3 · Fair BaseRate Target +$8,685 Above Fair BaseRate

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.

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)

EIN: 741857100

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.

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 Overall5/5 Stars (5/5)
Safety Composite81/100
Would Recommend85%
Rated 9 or 10 (HCAHPS)83%
Median ER Wait132 min
Left ER Before Seen3%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate2.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

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.

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

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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 0.61× regional baseline
Quality: 81/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna
-53.7%
Median Household Income$68,904U.S. Census ACS
Local Uninsured Share11.9%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 83/100 · Corroborated CMS CCN 451379 EIN 741857100

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

Published MRF File74-1857100_coryell-health_standardcharges.json
Publication / Vintage2026-08-27 · 17.06 MB
Validated Rate Rows2,252 (CMS v3.0.0)
File Integrity Digest037fedd2230a8c8e1cc4…

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.