How many shoppable procedure prices are published for Graham Regional Medical Center?

Graham Regional Medical Center in Graham, TX currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Graham Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Graham Regional Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-06-15

Graham Regional Medical Center

1301 Montgomery Road, Graham, TX 76450 · 108 Priced Procedures · 88% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness100

Price Logic67

Peer Alignment70

Clean Billing85

Real Cash Discount6

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Graham Regional Medical Center prices shoppable and inpatient services (1.3× to 1.7× Medicare, divergence 1.31×) 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.

#112 of 307 in TX · 36th State Percentile#1,739 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.76× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 20% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 88% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.4% AGB cap)

Watchout

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.
Captive ER (0.8×) & laboratory (0.9×) services average 1.31× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.45×) jump +44% above the median procedure ratio (Q50 1.01×)
Unnegotiated chargemaster list prices average 4.7× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.31× Divergence

1.7× Medicare

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

Quantile Tail Spread+44% Upper Tail

Q25 0.76× · Q50 1.01× · Q75 1.45×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.8× MedicareGood

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

20% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Graham Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$41,754	$13,151	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$43,838	$13,151	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$20,475	$6,143	$6,109	1.0×
Bunion correction surgery CPT Code: `28296`	$14,372	$4,312	$3,446	unverified
Inguinal hernia repair CPT Code: `49505`	$11,282	$3,465	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,881	$3,040	$3,372	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$8,872	$2,672	$2,540	1.1×
Breast lump removal CPT Code: `19120`	$7,363	$2,386	$3,875	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$4,166	$1,250	$1,256	1.0×
Trauma team activation HCPCS Code: `G0390`	$3,220	$1,109	$1,453	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,364	$1,009	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$3,190	$958	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,900	$882	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$2,724	$817	$855	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,821	$643	$511	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,200	$495	$448	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,465	$464	$338	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,381	$466	$369	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$946	$457	$583	0.8×
CT scan, sinuses CPT Code: `70486`	$1,157	$379	$166	2.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,129	$383	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,211	$393	$258	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,108	$388	$343	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,164	$355	$168	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,163	$354	$169	2.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,100	$362	$303	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$883	$316	$160	2.0×
CT scan, pelvis CPT Code: `72192`	$1,060	$320	$163	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,008	$323	$167	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$928	$312	$272	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$486	$232	$148	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$447	$203	$123	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$349	$166	$134	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$551	$165	$181	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$493	$148	$166	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$325	$115	$86	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$453	$136	$185	0.7×
X-ray, chest (single view) CPT Code: `71045`	$304	$107	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$304	$107	$93	1.2×
Family therapy session CPT Code: `90847`	$386	$116	$173	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$218	$87	$35	2.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$345	$104	$86	1.2×
X-ray, shoulder CPT Code: `73030`	$150	$90	$92	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$314	$112	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$292	$99	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$313	$95	$132	0.7×
Blood transfusion CPT Code: `36430`	$318	$106	$498	0.2×
Typhoid vaccine HCPCS Code: `90675`	$953	$286	$347	0.8×
Blood test, vitamin D CPT Code: `82306`	$212	$212	$31	6.8×
Blood test, vitamin B12 CPT Code: `82607`	$145	$145	$16	9.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$145	$145	$19	7.6×
Blood test, basic metabolic panel CPT Code: `80048`	$110	$110	$9	12.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$241	$122	$56	2.2×
Blood test, amylase CPT Code: `82150`	$85	$85	$7	12.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$95	$95	$14	6.8×
Drug screening test HCPCS Code: `G0480`	$348	$104	$116	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$50	$3	16.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$57	$57	$5	11.4×
Blood test, lipase CPT Code: `83690`	$62	$62	$7	8.9×
Orthotic fitting and training CPT Code: `97760`	$211	$74	$51	1.5×
Prosthetic fitting and training CPT Code: `97761`	$167	$59	$45	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$145	$52	$40	1.3×
X-ray, hip CPT Code: `73502`	$177	$75	$93	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$146	$48	$49	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$154	$66	$87	0.8×
Group therapy session CPT Code: `90853`	$202	$69	$100	0.7×
X-ray, lower back CPT Code: `72110`	$216	$69	$112	0.6×
Blood test, calcium CPT Code: `82310`	$41	$41	$5	8.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$141	$57	$93	0.6×
X-ray, foot CPT Code: `73630`	$139	$53	$92	0.6×
X-ray, ankle CPT Code: `73610`	$146	$49	$93	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$198	$59	$203	0.3×
Blood test, hemoglobin CPT Code: `85018`	$24	$24	$3	8.0×
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$63	$10	6.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$65	$6	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	$20	$4	5.0×
Pneumococcal vaccine HCPCS Code: `90732`	$45	$45	$140	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$10	$4	2.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$17	$8	2.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$123	$37	$18	2.1×
Blood test, liver function panel CPT Code: `80076`	$45	$18	$9	2.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$112	$34	$20	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$52	$38	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$120	$59	$201	0.3×
Culture, blood CPT Code: `87040`	$70	$21	$11	1.9×
Blood test, potassium CPT Code: `84132`	$21	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$22	$9	$5	1.8×
Culture, bacterial CPT Code: `87070`	$43	$16	$9	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$8	$5	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$47	$17	$11	1.5×
Hepatitis C antibody test CPT Code: `86803`	$59	$21	$15	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$48	$19	$14	1.4×
Speech therapy (group session) CPT Code: `92508`	$95	$34	$27	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$109	$36	$34	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$91	$32	$35	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$34	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$56	$26	$33	0.8×
Blood antibody screen CPT Code: `86850`	$61	$29	$46	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$98	$29	$48	0.6×
X-ray, hand CPT Code: `73130`	$92	$41	$93	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$26	$64	0.4×
X-ray, pelvis CPT Code: `72170`	$118	$43	$110	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$110	$41	$110	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$50	$15	$39	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$8	$25	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$106	$32	$111	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$95	$30	$123	unverified

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.4%

Audit a Bill or Quote at Graham Regional Medical Center (Zero PHI Required)

CMS CCN: 671300

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $41,754

Insurer Median $13,151

1. Amount on Your Bill or Quote ($) Pre-filled with Graham Regional Medical Center’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: $21,875 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,875

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.4% of gross = $21,875).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $41,754

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Graham Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $41,754 (vs. $13,151 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$28,341 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($41,754) is $28,341 above the denoised Fair BaseRate ($13,413) and 3.2× the $13,117 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)

EIN: 752597537

Filing Period: 201408

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 (52.4% 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 Composite72/100

Would Recommend88%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait133 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

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.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Graham Regional Medical Center.

Price Index: 0.86× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Choicecare Network

-59.9%

UnitedHealthcare

+105.5%

Median Household Income$63,723U.S. Census ACS

Local Uninsured Share20.2%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 68/100 · Caution CMS CCN 671300 EIN 752597537

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 671300) ↗ Verify IRS Form 990 (EIN 752597537) ↗ CMS HCRIS Cost Reports ↗

Published MRF File752597537_graham-regional-medical-center_standardcharges.json

Publication / Vintage2026-06-15 · 34.53 MB

Validated Rate Rows4,183 (CMS v3.0.0)

File Integrity Digestb43edb2eea4b5e520ce2…

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