How many shoppable procedure prices are published for Grace Surgical Hospital?

Grace Surgical Hospital in Lubbock, TX currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Grace Surgical Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Grace Surgical Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 92 Beds · urban Updated: 2026-04-01

Grace Surgical Hospital

2412 50Th St, Lubbock, TX 79412 · 121 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.47×vs. Fair Market Price

Typical commercial prices here are +47% above the fair benchmark (1.47×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness61

Price Logic96

Peer Alignment64

Clean Billing88

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 3,009), Grace Surgical Hospital commands a 1.47× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#224 of 307 in TX · 72nd State Percentile#2,588 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.41× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 86% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
Commercial insurance median sits at 1.52× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.82×) jump +20% above the median procedure ratio (Q50 1.52×)
Consolidated metro market (HHI 3,009) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.84× Divergence

1.6× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 1.41× · Q50 1.52× · Q75 1.82×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

1.3× MedicareGood

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

7% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Grace Surgical Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 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`	—	$31,059	$30,775	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,635	$19,432	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$26,080	$19,087	1.4×
Total hip replacement CPT Code: `27130`	—	$22,662	$13,413	1.7×
Total knee replacement CPT Code: `27447`	—	$22,662	$13,523	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,256	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,145	$8,223	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$11,704	$6,109	1.9×
Breast lump removal CPT Code: `19120`	—	$7,206	$3,875	1.9×
Inguinal hernia repair CPT Code: `49505`	—	$6,900	$3,629	1.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,334	$3,372	1.9×
Bunion correction surgery CPT Code: `28296`	—	$6,334	$3,446	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,552	$2,680	2.1×
C-section delivery (full package) CPT Code: `59510`	—	$5,552	$2,975	1.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,796	$2,540	1.9×
Trauma team activation HCPCS Code: `G0390`	—	$2,732	$1,453	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,487	$1,256	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,092	$981	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,068	$987	2.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,809	$1,021	1.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,563	$855	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$1,151	$583	unverified
Blood transfusion CPT Code: `36430`	—	$1,008	$498	2.0×
Psychological testing by technician CPT Code: `96138`	—	$763	$395	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$765	$511	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$678	$448	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$496	$272	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	—	$495	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	—	$496	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	—	$507	$369	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$641	$449	$201	2.2×
Neurobehavioral status check CPT Code: `96116`	—	$443	$231	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$462	$303	1.5×
Rabies immune globulin HCPCS Code: `90375`	$1,240	$413	$322	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$364	$181	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$365	$258	1.4×
CT scan, head (with contrast) CPT Code: `70460`	—	$340	$242	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$364	$185	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$364	$166	unverified
Family therapy session CPT Code: `90847`	—	$364	$173	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	—	$239	$132	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$231	$134	1.7×
X-ray, pelvis CPT Code: `72170`	—	$202	$110	1.8×
X-ray, lower back CPT Code: `72110`	—	$202	$112	1.8×
Psychological testing evaluation CPT Code: `96136`	—	$227	$128	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$217	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	—	$223	$130	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,034	$210	$151	1.4×
CT scan, head (no contrast) CPT Code: `70450`	—	$214	$160	1.3×
CT scan, pelvis CPT Code: `72192`	—	$217	$163	1.3×
CT scan, sinuses CPT Code: `70486`	—	$217	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	—	$217	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$217	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$217	$169	1.3×
Group therapy session CPT Code: `90853`	—	$208	$100	unverified
X-ray, chest (single view) CPT Code: `71045`	—	$168	$92	1.8×
X-ray, shoulder CPT Code: `73030`	—	$168	$92	1.8×
X-ray, foot CPT Code: `73630`	—	$168	$92	1.8×
X-ray, chest (two views) CPT Code: `71046`	—	$168	$93	1.8×
X-ray, hand CPT Code: `73130`	—	$168	$93	1.8×
X-ray, hip CPT Code: `73502`	—	$168	$93	1.8×
X-ray, ankle CPT Code: `73610`	—	$168	$93	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$180	$148	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	—	$149	$123	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$168	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$224	$133	$86	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$107	$64	1.7×
Typhoid vaccine HCPCS Code: `90675`	$816	$473	$347	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	—	$267	$140	1.9×
Drug screening test HCPCS Code: `G0480`	—	$177	$116	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$460	$176	$203	0.9×
Blood antibody screen CPT Code: `86850`	$48	$92	$46	2.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$96	$49	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$100	$76	$56	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$278	$99	$111	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$45	$25	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$63	$37	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$100	$59	$38	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$58	$38	1.5×
Occupational therapy (self-care training) CPT Code: `97535`	$105	$57	$38	1.5×
Blood test, vitamin D CPT Code: `82306`	$214	$46	$31	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$105	$58	$40	1.4×
Orthotic fitting and training CPT Code: `97760`	—	$72	$51	1.4×
Blood test, lipase CPT Code: `83690`	$49	$11	$7	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$129	$29	$19	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$30	$20	1.5×
Physical therapy (gait training) CPT Code: `97116`	$85	$48	$33	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$48	$35	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$70	$15	$10	1.5×
Speech therapy (group session) CPT Code: `92508`	—	$40	$27	1.5×
Prosthetic fitting and training CPT Code: `97761`	—	$63	$45	1.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$49	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$9	$6	1.5×
Hepatitis C antibody test CPT Code: `86803`	$75	$22	$15	1.5×
Culture, blood CPT Code: `87040`	$65	$16	$11	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$120	$26	$18	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	—	$47	$34	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$38	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$8	$5	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$88	$21	$14	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$96	$21	$14	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$6	$4	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$56	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$42	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$42	$13	$9	1.4×
Culture, bacterial CPT Code: `87070`	$75	$13	$9	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$109	$23	$16	1.4×
Blood test, amylase CPT Code: `82150`	$48	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$48	$10	$7	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$20	$14	1.4×
Blood test, potassium CPT Code: `84132`	$33	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$35	$7	$5	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$7	$5	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$63	$31	$39	0.8×
Blood test, hemoglobin CPT Code: `85018`	$15	$4	$3	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$18	$35	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$20	$20	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 12.9%

Audit a Bill or Quote at Grace Surgical Hospital (Zero PHI Required)

CMS CCN: 450162

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,059

1. Amount on Your Bill or Quote ($) Pre-filled with Grace Surgical 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 501(r) AGB Cap: $9,646 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,646

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.9% of gross = $9,646).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Grace Surgical Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$43,767 Above Fair BaseRate

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

Your bill ($74,542) is $43,767 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (12.9% 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.

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 Composite71/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)85%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Grace Surgical Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (62 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Grace Surgical Hospital.

Price Index: 1.04× regional baseline

Quality: 58/100 CMS composite

Median Household Income$63,367U.S. Census ACS

Local Uninsured Share13.7%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 82/100 · Corroborated CMS CCN 450162

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 450162) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows2,355 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450162

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