How many shoppable procedure prices are published for Hamilton Hospital?

Hamilton Hospital in Olney, TX currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Hamilton Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2025-05-08

Hamilton Hospital

901 West Hamilton, Olney, TX 76374 · 100 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness66

Price Logic82

Peer Alignment66

Clean Billing81

Real Cash Discount100

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

Hamilton Hospital prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#54 of 307 in TX · 17th State Percentile#1,082 of 3,385 in U.S. · 31st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 77% 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 (0.96× 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 0.91× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.25×) jump +37% above the median procedure ratio (Q50 0.91×)
Unnegotiated chargemaster list prices average 8.0× Medicare (26¢ 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 & ER1.00× Divergence

1.3× Medicare

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

Quantile Tail Spread+37% Upper Tail

Q25 0.59× · Q50 0.91× · Q75 1.25×

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

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

0.5× MedicareGood

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

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Hamilton Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$7,780	$7,780	$3,875	2.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,628	$7,628	$6,109	1.2×
C-section delivery (full package) CPT Code: `59510`	$5,531	$5,531	$2,975	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$4,975	$4,975	$2,680	1.9×
Inguinal hernia repair CPT Code: `49505`	$4,014	$4,014	$3,629	1.1×
Trauma team activation HCPCS Code: `G0390`	$2,797	$2,797	$1,453	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,554	$2,554	$1,256	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,457	$2,457	$1,021	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,989	$1,989	$987	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,293	$1,293	$981	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,142	$1,142	$583	unverified
Blood transfusion CPT Code: `36430`	$890	$890	$498	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,867	$460	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,728	$460	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,867	$460	$369	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,694	$460	$511	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$262	$262	$110	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,268	$275	$160	1.7×
CT scan, pelvis CPT Code: `72192`	$1,472	$275	$163	1.7×
CT scan, sinuses CPT Code: `70486`	$1,472	$275	$166	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,363	$275	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,363	$275	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,357	$275	$169	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,363	$275	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,900	$275	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,524	$275	$303	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,606	$275	$448	0.6×
Group therapy session CPT Code: `90853`	$229	$229	$100	2.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$227	$227	$181	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$206	$206	$166	1.2×
Family therapy session CPT Code: `90847`	$214	$214	$173	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$224	$224	$185	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$111	$111	$123	0.9×
Ultrasound, pelvis CPT Code: `76856`	$506	$80	$130	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$378	$80	$132	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$548	$80	$134	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,069	$80	$272	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$216	$216	$11	19.6×
Pneumococcal vaccine HCPCS Code: `90732`	$238	$238	$140	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$162	$162	$9	18.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$147	$147	$14	10.5×
Blood test, vitamin B12 CPT Code: `82607`	$158	$158	$16	9.9×
Blood test, vitamin D CPT Code: `82306`	$148	$148	$31	4.8×
Blood test, liver function panel CPT Code: `80076`	$118	$118	$9	13.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$100	$100	$10	10.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$116	$116	$14	8.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$115	$115	$20	5.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$88	$88	$6	14.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$104	$104	$18	5.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$118	$118	$56	2.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$111	$111	$203	0.5×
Blood test, magnesium CPT Code: `83735`	$78	$78	$7	11.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$63	$63	$8	7.9×
Blood test, lipase CPT Code: `83690`	$55	$55	$7	7.9×
Culture, bacterial CPT Code: `87070`	$69	$69	$9	7.7×
Culture, blood CPT Code: `87040`	$76	$76	$11	6.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$48	$4	12.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$30	$3	10.0×
Blood test, amylase CPT Code: `82150`	$48	$48	$7	6.9×
Hepatitis C antibody test CPT Code: `86803`	$72	$72	$15	4.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$78	$78	$19	4.1×
Blood antibody screen CPT Code: `86850`	$76	$76	$46	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$64	$39	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$67	$67	$111	0.6×
Blood test, hemoglobin CPT Code: `85018`	$34	$34	$3	11.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$39	$5	7.8×
Hepatitis B vaccine HCPCS Code: `90744`	$64	$64	$37	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$31	$4	7.8×
Blood test, sodium CPT Code: `84295`	$29	$29	$5	5.8×
Blood test, potassium CPT Code: `84132`	$27	$27	$5	5.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$57	$40	$14	2.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$76	$50	$25	2.0×
Physical therapy (gait training) CPT Code: `97116`	$71	$40	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$40	$34	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$95	$40	$35	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$95	$40	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$107	$40	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$97	$40	$40	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$44	$50	$64	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$63	$63	$87	0.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
X-ray, chest (single view) CPT Code: `71045`	$187	$55	$92	0.6×
X-ray, shoulder CPT Code: `73030`	$258	$55	$92	0.6×
X-ray, foot CPT Code: `73630`	$223	$55	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$214	$55	$93	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$187	$55	$93	0.6×
X-ray, hand CPT Code: `73130`	$187	$55	$93	0.6×
X-ray, hip CPT Code: `73502`	$214	$55	$93	0.6×
X-ray, ankle CPT Code: `73610`	$187	$55	$93	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$393	$65	$126	0.5×
X-ray, pelvis CPT Code: `72170`	$227	$55	$110	0.5×
X-ray, lower back CPT Code: `72110`	$286	$55	$112	0.5×
Blood test, calcium CPT Code: `82310`	$27	$27	$5	5.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$41	$41	$86	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$126	$40	$86	0.5×
Drug screening test HCPCS Code: `G0480`	$44	$44	$116	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$13	$13	$48	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$13	$49	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$36	$36	$201	0.2×

Showing top 25 high-impact procedures of 100 total

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

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

CMS CCN: 451354

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $7,780

Insurer Median $7,780

1. Amount on Your Bill or Quote ($) Pre-filled with Hamilton 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 $3,335 Paying Cash

Self-Pay Cash Rate ($7,780) Beats Your Bill

Hamilton Hospital's published 45 CFR § 180 self-pay cash rate is $7,780 (vs. $7,780 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,240 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($11,115) is $7,240 above the denoised Fair BaseRate ($3,875) and 2.8× the $4,000 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)

Public IRS & CMS ownership records classify Hamilton 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 Composite71/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait92 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (41 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 Hamilton Hospital.

Price Index: 1.41× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-53.9%

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 78/100 · Corroborated CMS CCN 451354

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 451354) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-05-08

Validated Rate Rows855 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451354

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