Fisher County Hospital District
774 State Highway 70 N, Rotan, TX 79546 · 81 Priced Procedures
Typical commercial prices here are +40% above the fair benchmark (1.40×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Fisher County Hospital District prices routine shoppable procedures at 2.1× Medicare (median 1.27× Fair BaseRate) while upper-quartile commercial rates jump +45% to 1.84× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 49% of shoppable procedures (68/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- 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 (1.40× 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 1.27× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.84×) jump +45% above the median procedure ratio (Q50 1.27×)
- Unnegotiated chargemaster list prices average 6.0× Medicare (30¢ true HCRIS cost per $1 gross)
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 Fisher County Hospital District
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 81 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,174 | 2.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,057 | 3.5× |
| CT scan, sinuses CPT Code: 70486 | $817 | 4.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $549 | 3.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $532 | 2.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $490 | 2.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $490 | 2.9× |
| CT scan, pelvis CPT Code: 72192 | $449 | 2.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $446 | 1.8× |
| Blood transfusion CPT Code: 36430 | $450 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $411 | 0.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $383 | 2.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $264 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $195 | 1.5× |
| X-ray, shoulder CPT Code: 73030 | $166 | 1.8× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $116 | 4.6× |
| X-ray, foot CPT Code: 73630 | $138 | 1.5× |
| X-ray, ankle CPT Code: 73610 | $138 | 1.5× |
| X-ray, hand CPT Code: 73130 | $124 | 1.3× |
| Ultrasound, pelvis CPT Code: 76856 | $149 | 1.1× |
| X-ray, hip CPT Code: 73502 | $119 | 1.3× |
| New patient office visit (30-44 min) CPT Code: 99203 | $125 | 1.1× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $128 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $133 | 1.0× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $92 | 1.4× |
Audit a Bill or Quote at Fisher County Hospital District (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 ($1,786) Beats Your Bill
Fisher County Hospital District's published 45 CFR § 180 self-pay cash rate is $1,786 (vs. $1,174 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($2,101) is $1,653 above the denoised Fair BaseRate ($448) and 5.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Fisher County Hospital District 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
Source: CMS Hospital Care Compare. 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 Fisher County Hospital District.
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.