El Campo Memorial Hospital
303 Sandy Corner Rd, El Campo, TX 77437 · 31 Priced Procedures · 56% Patient Recommendation
Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.12× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
El Campo Memorial Hospital prices routine shoppable procedures near 1.2× Medicare (p50 1.15×) while skewing captive emergency, lab, and upper-quartile codes to 2.4× Medicare (p75 1.25×, +9% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 11% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (64/100 safety score) with 56% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.1×) & laboratory (1.3×) services average 2.00× higher multiples than routine shoppable care (1.2×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 10,000) 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 El Campo Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 31 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $437 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $383 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $372 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $281 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $245 | 0.8× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $191 | 2.2× |
| CT scan, sinuses CPT Code: 70486 | $205 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $205 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $205 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $205 | unverified |
| CT scan, pelvis CPT Code: 72192 | $205 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $191 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $191 | unverified |
| X-ray, shoulder CPT Code: 73030 | $115 | 1.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $122 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $123 | 0.9× |
| X-ray, hand CPT Code: 73130 | $91 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $91 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $86 | 0.9× |
| X-ray, pelvis CPT Code: 72170 | $86 | 0.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $100 | 0.8× |
| Typhoid vaccine HCPCS Code: 90675 | $149 | 0.4× |
| Blood antibody screen CPT Code: 86850 | $69 | 1.5× |
| X-ray, foot CPT Code: 73630 | $79 | 0.9× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $35 | 1.4× |
Audit a Bill or Quote at El Campo Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $348
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.7% of gross = $348).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
El Campo Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,409 (vs. $437 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $583 Fair BaseRate ($558 Medicare)
Your bill ($1,409) is $826 above the denoised Fair BaseRate ($583) and 2.5× the $558 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (24.7% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at El Campo Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-02-12·administrative_or_closure
Closure Notice
Recorded - 2025-01-06·cap_corrective_action
CAP Request
Recorded - 2024-09-26·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (109 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 El Campo Memorial Hospital.
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.