Glen Rose Medical Center
1021 Holden Street, Glen Rose, TX 76043 · 91 Priced Procedures · 91% Patient Recommendation
Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Glen Rose Medical Center prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (1.11× 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)
- Bottom-quartile procedures (Q25) price at 0.73× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (75/100 safety score) with 91% 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 (1.11× 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 1.18× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.11× 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.
- Unnegotiated chargemaster list prices average 5.0× Medicare (31¢ 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 Glen Rose Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $22,243 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $18,464 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $4,467 | 1.2× |
| Breast lump removal CPT Code: 19120 | $4,467 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,467 | 0.7× |
| Total hip replacement CPT Code: 27130 | $4,467 | 0.3× |
| Total knee replacement CPT Code: 27447 | $4,467 | 0.3× |
| Bunion correction surgery CPT Code: 28296 | $4,467 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,467 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $4,345 | 0.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,664 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,294 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,869 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $2,244 | 2.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,002 | 3.4× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $1,644 | 0.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,577 | 5.8× |
| Blood transfusion CPT Code: 36430 | $1,430 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $1,238 | 9.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,129 | 8.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $863 | 6.5× |
| X-ray, pelvis CPT Code: 72170 | $632 | 5.7× |
| X-ray, lower back CPT Code: 72110 | $632 | 5.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $573 | 4.5× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $503 | 0.1× |
Audit a Bill or Quote at Glen Rose Medical Center (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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Glen Rose Medical Center's published 45 CFR § 180 self-pay cash rate is $22,243 (vs. $22,243 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($22,243) is $2,811 above the denoised Fair BaseRate ($19,432) and 1.6× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Glen Rose Medical Center 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Glen Rose Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-12-17·administrative_or_closure
Closure Notice
Recorded - 2024-12-06·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (45 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 Glen Rose Medical Center.
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.