How many shoppable procedure prices are published for Golden Plains Community Hospital?

Golden Plains Community Hospital in Borger, TX currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Golden Plains Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Golden Plains Community Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2026-03-16

Golden Plains Community Hospital

100 Medical Drive, Borger, TX 79007 · 104 Priced Procedures · 50% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.60×vs. Fair Market Price

Typical commercial prices here are +60% above the fair benchmark (1.60×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 10% of the Time

File Completeness66

Price Logic87

Peer Alignment69

Clean Billing91

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Golden Plains Community Hospital commands a 1.60× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#239 of 307 in TX · 77th State Percentile#2,770 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 10% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (61/100 safety score) with 50% 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 (1.60× 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 (2.3×) & laboratory (3.1×) services average 1.25× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.96×) jump +22% above the median procedure ratio (Q50 1.60×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.25× Divergence

2.0× Medicare

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

Quantile Tail Spread+22% Upper Tail

Q25 0.95× · Q50 1.60× · Q75 1.96×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

2.0× MedicareGood

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

10% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 61/100Elevated

Procedure Prices at Golden Plains Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$6,593	$3,477	$2,975	1.2×
Total hip replacement CPT Code: `27130`	$3,359	$3,359	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$3,376	$3,376	$13,523	unverified
Vaginal delivery (full package) CPT Code: `59400`	$4,951	$3,136	$2,680	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,614	$1,614	$6,109	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,327	$1,327	$3,372	0.4×
Bunion correction surgery CPT Code: `28296`	$1,299	$1,299	$3,446	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,273	$1,273	$3,629	0.4×
Breast lump removal CPT Code: `19120`	$1,004	$1,004	$3,875	0.3×
Trauma team activation HCPCS Code: `G0390`	$878	$878	$1,453	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,228	$813	$511	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,949	$762	$448	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$641	$641	$1,256	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$537	$537	$981	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,758	$496	$303	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$4,323	$496	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$3,953	$496	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,826	$496	$369	1.3×
Blood transfusion CPT Code: `36430`	$452	$452	$498	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,436	$388	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,066	$388	$258	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$369	$369	$987	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,254	$343	$272	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$405	$301	$201	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$906	$284	$583	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$179	$248	$123	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$263	$248	$166	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,712	$239	$160	1.5×
CT scan, pelvis CPT Code: `72192`	$1,750	$239	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$2,146	$239	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$3,616	$239	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,871	$239	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,407	$239	$169	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$372	$248	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$330	$248	$181	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$174	$248	$110	unverified
Group therapy session CPT Code: `90853`	$180	$180	$100	1.8×
Family therapy session CPT Code: `90847`	$197	$197	$173	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$295	$168	$86	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$258	$115	$64	1.8×
X-ray, pelvis CPT Code: `72170`	$318	$103	$110	0.9×
X-ray, lower back CPT Code: `72110`	$680	$103	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,086	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$1,350	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,257	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,172	$103	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$498	$111	$148	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$126	$126	$87	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$176	$85	$40	2.1×
Orthotic fitting and training CPT Code: `97760`	$95	$102	$51	2.0×
Prosthetic fitting and training CPT Code: `97761`	$125	$88	$45	2.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$86	$86	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$336	$92	$123	0.7×
Blood test, lipase CPT Code: `83690`	$205	$205	$7	29.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$693	$194	$203	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$81	$81	$10	8.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$103	$14	7.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$79	$100	$49	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$92	$75	$38	2.0×
Blood test, vitamin D CPT Code: `82306`	$244	$61	$31	2.0×
X-ray, chest (single view) CPT Code: `71045`	$281	$73	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$472	$73	$92	0.8×
X-ray, foot CPT Code: `73630`	$561	$73	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$373	$73	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$442	$73	$93	0.8×
X-ray, hand CPT Code: `73130`	$473	$73	$93	0.8×
X-ray, hip CPT Code: `73502`	$357	$73	$93	0.8×
X-ray, ankle CPT Code: `73610`	$434	$73	$93	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$80	$86	$111	0.8×
Blood antibody screen CPT Code: `86850`	$96	$101	$46	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$77	$75	$38	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$107	$73	$38	1.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$121	$66	$35	1.9×
Physical therapy (gait training) CPT Code: `97116`	$184	$65	$33	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$81	$30	$14	2.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$151	$38	$19	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$60	$34	1.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$148	$34	$18	1.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$53	$39	$25	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$60	$47	$48	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$319	$48	$56	0.9×
Blood test, calcium CPT Code: `82310`	$61	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$195	$22	$11	2.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$46	$6	$3	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$202	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$66	$8	$4	2.0×
Blood test, magnesium CPT Code: `83735`	$167	$14	$7	2.0×
Blood test, potassium CPT Code: `84132`	$60	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$46	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$176	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$92	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$106	$12	$6	2.0×
Culture, bacterial CPT Code: `87070`	$133	$18	$9	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$116	$31	$16	1.9×
Hepatitis C antibody test CPT Code: `86803`	$148	$29	$15	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$100	$27	$14	1.9×
Culture, blood CPT Code: `87040`	$212	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$130	$17	$9	1.9×
Blood test, liver function panel CPT Code: `80076`	$130	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$221	$13	$7	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$9	$5	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$112	$34	$39	0.9×
Blood test, hemoglobin CPT Code: `85018`	$20	$5	$3	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$106	$28	$37	0.8×

Showing top 25 high-impact procedures of 104 total

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

Audit a Bill or Quote at Golden Plains Community Hospital (Zero PHI Required)

CMS CCN: 451369

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $6,593

Insurer Median $3,477

1. Amount on Your Bill or Quote ($) Pre-filled with Golden Plains Community Hospital’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 Save $2,825 Paying Cash

Self-Pay Cash Rate ($6,593) Beats Your Bill

Golden Plains Community Hospital's published 45 CFR § 180 self-pay cash rate is $6,593 (vs. $3,477 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,443 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($9,418) is $6,443 above the denoised Fair BaseRate ($2,975) and 3.8× the $2,473 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: 260328929

Filing Period: 202403

Public IRS & CMS ownership records classify Golden Plains Community 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

Safety Composite61/100

Would Recommend50%

Rated 9 or 10 (HCAHPS)71%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (31 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 Golden Plains Community Hospital.

Price Index: 1.00× regional baseline

Quality: 50/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-49.1%

Median Household Income$65,470U.S. Census ACS

Local Uninsured Share14.5%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 82/100 · Corroborated CMS CCN 451369 EIN 260328929

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 451369) ↗ Verify IRS Form 990 (EIN 260328929) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-16

Validated Rate Rows1,594 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451369

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