How many shoppable procedure prices are published for Hill Country Memorial Hospital?

Hill Country Memorial Hospital in Fredericksburg, TX currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hill Country Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hill Country Memorial Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Hill Country Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Hill Country Memorial Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 57 Beds · rural Updated: 2026-09-01

Hill Country Memorial Hospital

1020 South State Highway 16, Fredericksburg, TX 78624 · 117 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.14×vs. Fair Market Price

Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness60

Price Logic96

Peer Alignment72

Clean Billing89

Real Cash Discount6

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.14× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hill Country Memorial Hospital prices routine shoppable procedures at 1.3× Medicare (median 0.99× Fair BaseRate) while upper-quartile commercial rates jump +52% to 1.50× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#131 of 307 in TX · 42nd State Percentile#1,848 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 73% patient recommendation (74/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.99× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.50×) jump +52% above the median procedure ratio (Q50 0.99×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

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

Quantile Tail Spread+52% Upper Tail

Q25 0.86× · Q50 0.99× · Q75 1.50×

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

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

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

3.3× MedicareElevated

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Hill Country Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 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`	—	$25,890	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,461	$19,432	unverified
Total hip replacement CPT Code: `27130`	—	$21,798	$13,413	1.6×
Total knee replacement CPT Code: `27447`	—	$21,798	$13,523	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,512	$17,936	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,391	$19,087	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,789	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,707	$6,109	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,719	$3,372	1.4×
Breast lump removal CPT Code: `19120`	—	$4,130	$3,875	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,758	$2,540	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$3,777	$3,629	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,451	$3,446	1.0×
Trauma team activation HCPCS Code: `G0390`	$10,279	$2,584	$1,453	1.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,033	$1,256	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$17,382	$1,982	$1,021	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,919	$855	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,690	$987	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,642	$981	1.7×
Rabies immune globulin HCPCS Code: `90375`	$9,305	$687	$322	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,185	$533	$201	unverified
Blood transfusion CPT Code: `36430`	$3,188	$465	$498	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,783	$393	$583	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$14,859	$344	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$12,741	$361	$511	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,622	$324	$151	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$777	$225	$110	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,085	$232	$123	1.9×
X-ray, lower back CPT Code: `72110`	$2,660	$197	$112	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,754	$208	$272	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$9,343	$222	$343	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,863	$195	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$11,369	$207	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$10,716	$217	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$6,646	$230	$369	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$445	$160	$64	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$777	$151	$87	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,332	$146	$93	1.6×
X-ray, ankle CPT Code: `73610`	$1,911	$144	$93	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$743	$169	$148	1.1×
X-ray, hand CPT Code: `73130`	$2,039	$143	$93	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$6,743	$168	$242	0.7×
X-ray, shoulder CPT Code: `73030`	$1,324	$140	$92	1.5×
X-ray, foot CPT Code: `73630`	$1,911	$140	$92	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$129	$129	$86	1.5×
X-ray, chest (two views) CPT Code: `71046`	$1,255	$139	$93	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$517	$139	$123	1.1×
X-ray, hip CPT Code: `73502`	$1,180	$158	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$1,133	$103	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$1,028	$117	$110	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,934	$115	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,452	$115	$134	0.9×
Ultrasound, pelvis CPT Code: `76856`	$3,060	$106	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,994	$96	$126	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$6,391	$115	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$4,822	$115	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$7,114	$115	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$6,686	$115	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,857	$115	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,857	$115	$169	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$1,524	$118	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,812	$2,812	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,235	$380	$203	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$722	$243	$140	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$492	$194	$111	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$160	$160	$49	3.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$279	$100	$56	1.8×
Drug screening test HCPCS Code: `G0480`	$774	$114	$116	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$160	$69	$48	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$99	$47	$35	1.3×
Psychological testing by technician CPT Code: `96138`	—	$67	$395	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$117	$40	$25	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$61	$39	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$143	$57	$37	1.5×
Psychological testing evaluation CPT Code: `96136`	—	$67	$128	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$31	$25	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$202	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$710	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Blood test, vitamin D CPT Code: `82306`	$1,880	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	$376	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$356	$45	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$531	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$379	$32	$38	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$467	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$756	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$202	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$816	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,526	$13	$14	0.9×
Blood test, liver function panel CPT Code: `80076`	$1,439	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$672	$6	$7	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$531	$28	$34	0.8×
Speech therapy (group session) CPT Code: `92508`	—	$37	$27	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$481	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$625	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$501	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$202	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$202	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$202	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$327	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$886	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$710	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$710	$17	$18	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$970	$10	$11	0.9×
Physical therapy (gait training) CPT Code: `97116`	$297	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$544	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$479	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$327	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$227	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$454	$10	$46	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$1,630	$11	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$202	$5	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$854	$14	$15	unverified

Showing top 25 high-impact procedures of 117 total

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

Audit a Bill or Quote at Hill Country Memorial Hospital (Zero PHI Required)

CMS CCN: 450604

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,890

1. Amount on Your Bill or Quote ($) Pre-filled with Hill Country Memorial 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Hill Country Memorial 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 +$31,361 Above Fair BaseRate

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

Your bill ($62,136) is $31,361 above the denoised Fair BaseRate ($30,775) and 2.6× 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) For-Profit / Non-501(c)(3)

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

EIN: 742730328

Public IRS & CMS ownership records classify Hill Country Memorial 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

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait158 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (405 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 Hill Country Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 74/100 CMS composite

Median Household Income$67,799U.S. Census ACS

Local Uninsured Share15.5%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 67/100 · Caution CMS CCN 450604 EIN 742730328

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

MRF Portal Indexed (74-2730328_METHODIST-HOSPITAL-HILL-COUNTRY_standardcharges.json) Verify on CMS Medicare.gov (CCN 450604) ↗ Verify IRS Form 990 (EIN 742730328) ↗ CMS HCRIS Cost Reports ↗

Published MRF File74-2730328_METHODIST-HOSPITAL-HILL-COUNTRY_standardcharges.json

Publication / Vintage2026-09-01 · 412.99 MB

Validated Rate Rows5,833 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450604

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