How many shoppable procedure prices are published for Doctors Hosptal at Renaissance?

Doctors Hosptal at Renaissance in Edinburg, TX currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Doctors Hosptal at Renaissance's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Doctors Hosptal at Renaissance's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Doctors Hosptal at Renaissance's CMS Care Compare overall star rating?

CMS Care Compare assigns Doctors Hosptal at Renaissance an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Physician 399 Beds · urban Updated: 04/01/2026

Doctors Hosptal at Renaissance

5501 South McColl, Edinburg, TX 78539 · 128 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness100

Price Logic95

Peer Alignment81

Clean Billing86

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Doctors Hosptal at Renaissance prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#53 of 307 in TX · 16th State Percentile#1,081 of 3,385 in U.S. · 31st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 71% 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)

Even at low-cost facilities (0.96× 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.
Commercial insurance median sits at 0.97× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.96× 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.
Consolidated metro market (HHI 2,565) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 0.89× · Q50 0.97× · Q75 1.01×

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

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.6× MedicareGood

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Doctors Hosptal at Renaissance

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$21,342	$21,342	$30,775	0.7×
Total hip replacement CPT Code: `27130`	$29,469	$13,284	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$26,892	$13,284	$13,523	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,833	$12,833	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$12,743	$12,743	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$11,647	$11,647	$17,936	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$11,680	$5,984	$6,109	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,150	$5,150	$8,223	0.6×
Breast lump removal CPT Code: `19120`	$6,433	$3,765	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$8,660	$3,643	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,052	$3,350	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$6,974	$3,350	$3,446	1.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	$2,783	$2,783	$269	10.3×
Vaginal delivery (full package) CPT Code: `59400`	$11,198	$2,403	$2,680	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$5,328	$2,355	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	$5,900	$1,366	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$9,802	$1,217	$1,256	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$7,540	$968	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$7,736	$941	$981	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,584	$742	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,958	$566	$583	1.0×
Blood transfusion CPT Code: `36430`	$1,437	$430	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$369	$369	$395	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,670	$369	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,862	$369	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$914	$322	$231	1.4×
Behavioral health assessment HCPCS Code: `H0001`	$284	$284	$157	1.8×
Rabies immune globulin HCPCS Code: `90375`	$1,083	$289	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,227	$250	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,625	$250	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$4,143	$250	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$4,204	$250	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$5,811	$250	$369	0.7×
Care planning with family CPT Code: `90887`	$625	$210	$107	2.0×
Review of medical records for care CPT Code: `90889`	$446	$210	$114	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$568	$210	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,631	$184	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,021	$184	$258	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$610	$154	$148	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$448	$166	$166	1.0×
Family therapy session CPT Code: `90847`	$446	$166	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$446	$166	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$442	$166	$185	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$167	$167	$86	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$473	$125	$123	1.0×
X-ray, pelvis CPT Code: `72170`	$569	$110	$110	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$968	$120	$126	1.0×
Psychological testing evaluation CPT Code: `96136`	$118	$118	$128	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$699	$139	$151	0.9×
X-ray, chest (single view) CPT Code: `71045`	$291	$91	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$873	$91	$92	1.0×
X-ray, foot CPT Code: `73630`	$698	$91	$92	1.0×
X-ray, lower back CPT Code: `72110`	$686	$110	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$299	$91	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$991	$91	$93	1.0×
X-ray, hand CPT Code: `73130`	$694	$91	$93	1.0×
X-ray, hip CPT Code: `73502`	$587	$91	$93	1.0×
X-ray, ankle CPT Code: `73610`	$428	$91	$93	1.0×
Group therapy session CPT Code: `90853`	$298	$96	$100	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,683	$110	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,368	$110	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,100	$110	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$432	$97	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,321	$110	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$3,142	$110	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,321	$110	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,691	$110	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,652	$110	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,297	$110	$169	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$432	$82	$110	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$811	$398	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,303	$324	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$438	$294	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$411	$176	$111	1.6×
Drug screening test HCPCS Code: `G0480`	$1,579	$120	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$259	$77	$86	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$285	$99	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$201	$69	$39	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$89	$43	$25	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$213	$57	$37	1.5×
Blood antibody screen CPT Code: `86850`	$910	$55	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$188	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$187	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$168	$48	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$248	$61	$64	1.0×
Orthotic fitting and training CPT Code: `97760`	$244	$47	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$256	$41	$45	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$320	$66	$87	0.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$122	$28	$27	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$195	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$205	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$253	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$193	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$558	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$75	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$149	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$119	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$121	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$284	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$257	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$93	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$205	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$158	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$154	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$112	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$338	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$113	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$317	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$93	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$179	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$101	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$272	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$270	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$200	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$203	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$364	$20	$20	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$141	$31	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$121	$13	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$181	$34	$38	0.9×
Speech therapy (group session) CPT Code: `92508`	$143	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$184	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$248	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$207	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$230	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$198	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$231	$28	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$56	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$196	$14	$25	0.6×

Showing top 25 high-impact procedures of 128 total

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

Audit a Bill or Quote at Doctors Hosptal at Renaissance (Zero PHI Required)

CMS CCN: 450869

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $21,342

Insurer Median $21,342

1. Amount on Your Bill or Quote ($) Pre-filled with Doctors Hosptal at Renaissance’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 Published Cash: $21,342

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Doctors Hosptal at Renaissance's published 45 CFR § 180 self-pay cash rate is $21,342 (vs. $21,342 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: $30,775 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

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 Doctors Hosptal at Renaissance 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 Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait220 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (3,274 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 Doctors Hosptal at Renaissance.

Price Index: 0.93× regional baseline

Quality: 65/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-50.5%

Median Household Income$52,281U.S. Census ACS

Local Uninsured Share29.7%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 77/100 · Corroborated CMS CCN 450869

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450869) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileoneclick

Publication / Vintage04/01/2026 · 182.67 MB

Validated Rate Rows4,252 (CMS v3.0.0)

File Integrity Digest505a6ee5d1f20055e74f…

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

Doctors Hosptal at Renaissance

Aligned Regional Benchmark Peer

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 Doctors Hosptal at Renaissance

Audit a Bill or Quote at Doctors Hosptal at Renaissance (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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