How many shoppable procedure prices are published for Hill Regional Hospital?

Hill Regional Hospital in Hillsboro, TX currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

CMS Care Compare assigns Hill Regional Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2025-11-06

Hill Regional Hospital

101 Circle Drive, Hillsboro, TX 76645 · 89 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness90

Price Logic93

Peer Alignment51

Clean Billing70

Real Cash Discount6

High-Markup Tier

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Hill Regional Hospital concentrates commercial margin in outpatient surgical suites (9.9× Medicare) and specialty drug infusions (9.7× Medicare) relative to routine diagnostics (9.9×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 61% patient recommendation (62/100 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 9.9× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (12.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 14.6× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

12.9× Medicare

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

Back-Door Captive & ER0.92× Divergence

11.9× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

12.9× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

9.9× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

9.9× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

10.0× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

10.4× MedicareWatchout

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

9.7× MedicareWatchout

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

7% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 62/100Elevated

Procedure Prices at Hill Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$166,580	$166,580	$19,432	8.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$74,707	$74,707	$6,109	12.2×
Vaginal delivery (full package) CPT Code: `59400`	$46,832	$46,832	$2,680	17.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$36,334	$36,334	$3,372	10.8×
Breast lump removal CPT Code: `19120`	$21,121	$21,121	$3,875	5.5×
Cataract surgery with lens implant CPT Code: `66984`	$20,458	$20,458	$2,540	8.1×
Upper endoscopy with biopsy CPT Code: `43239`	$14,375	$14,375	$987	14.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$13,965	$13,965	$981	14.2×
Colonoscopy with biopsy CPT Code: `45380`	$10,513	$10,513	$1,256	8.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,025	$8,025	$448	17.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,857	$6,857	$303	22.6×
C-section delivery (full package) CPT Code: `59510`	$6,500	$6,500	$2,975	2.2×
Trauma team activation HCPCS Code: `G0390`	$4,713	$4,713	$1,453	3.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,861	$3,861	$1,021	3.8×
CT scan, head (with contrast) CPT Code: `70460`	$3,578	$3,578	$242	14.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,583	$3,583	$583	6.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,382	$3,382	$168	20.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,382	$3,382	$169	20.0×
MRI, lower back (no contrast) CPT Code: `72148`	$3,310	$3,310	$338	9.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,310	$3,310	$511	6.5×
CT scan, pelvis CPT Code: `72192`	$3,284	$3,284	$163	20.1×
MRI, brain (no contrast) CPT Code: `70551`	$3,046	$3,046	$343	8.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,993	$2,993	$160	18.7×
CT scan, sinuses CPT Code: `70486`	$2,993	$2,993	$166	18.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,535	$2,535	$369	6.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,072	$2,072	$167	12.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,894	$1,894	$87	21.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,793	$1,793	$134	13.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,451	$1,451	$123	11.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,422	$1,422	$126	11.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,200	$1,200	$258	4.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,151	$1,151	$272	4.2×
Ultrasound, pelvis CPT Code: `76856`	$1,083	$1,083	$130	8.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,072	$1,072	$132	8.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$650	$650	$201	3.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$518	$518	$148	3.5×
Blood transfusion CPT Code: `36430`	$540	$540	$498	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$406	$406	$123	3.3×
Physical therapy (manual therapy) CPT Code: `97140`	$375	$375	$34	11.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$390	$390	$64	6.1×
Speech therapy (language evaluation) CPT Code: `92507`	$406	$406	$86	4.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$335	$335	$38	8.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$289	$289	$35	8.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$290	$290	$40	7.3×
X-ray, chest (two views) CPT Code: `71046`	$300	$300	$93	3.2×
X-ray, hand CPT Code: `73130`	$300	$300	$93	3.2×
X-ray, ankle CPT Code: `73610`	$300	$300	$93	3.2×
X-ray, shoulder CPT Code: `73030`	$275	$275	$92	3.0×
X-ray, foot CPT Code: `73630`	$275	$275	$92	3.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$275	$275	$93	3.0×
X-ray, hip CPT Code: `73502`	$275	$275	$93	3.0×
X-ray, pelvis CPT Code: `72170`	$275	$275	$110	2.5×
X-ray, lower back CPT Code: `72110`	$275	$275	$112	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$230	$230	$38	6.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$155	$155	$38	4.1×
Physical therapy (gait training) CPT Code: `97116`	$111	$111	$33	3.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$135	$135	$86	1.6×
X-ray, chest (single view) CPT Code: `71045`	$100	$100	$92	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$697	$697	$14	49.8×
Hepatitis C antibody test CPT Code: `86803`	$706	$706	$15	47.1×
Blood test, vitamin B12 CPT Code: `82607`	$697	$697	$16	43.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$505	$505	$10	50.5×
Blood test, amylase CPT Code: `82150`	$460	$460	$7	65.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$458	$458	$20	22.9×
Blood test, vitamin D CPT Code: `82306`	$433	$433	$31	14.0×
Blood test, calcium CPT Code: `82310`	$373	$373	$5	74.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$366	$366	$6	61.0×
Blood test, lipase CPT Code: `83690`	$354	$354	$7	50.6×
Blood test, liver function panel CPT Code: `80076`	$374	$374	$9	41.6×
Culture, blood CPT Code: `87040`	$368	$368	$11	33.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$383	$383	$18	21.3×
Blood test, magnesium CPT Code: `83735`	$341	$341	$7	48.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$358	$358	$19	18.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$321	$321	$4	80.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$277	$277	$5	55.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$218	$218	$3	72.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$230	$230	$8	28.8×
Blood test, basic metabolic panel CPT Code: `80048`	$215	$215	$9	23.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$239	$239	$11	21.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$236	$236	$14	16.9×
Blood antibody screen CPT Code: `86850`	$204	$204	$46	4.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$137	$137	$4	34.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$161	$161	$5	32.2×
Blood test, potassium CPT Code: `84132`	$129	$129	$5	25.8×
Blood test, sodium CPT Code: `84295`	$129	$129	$5	25.8×
Culture, bacterial CPT Code: `87070`	$128	$128	$9	14.2×
Blood test, hemoglobin CPT Code: `85018`	$59	$59	$3	19.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$71	$14	5.1×
Flu vaccine injection HCPCS Code: `G0008`	$82	$82	$48	1.7×

Showing top 25 high-impact procedures of 89 total

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

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

CMS CCN: 451395

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $166,580

Insurer Median $166,580

1. Amount on Your Bill or Quote ($) Pre-filled with Hill Regional 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 Published Cash: $166,580

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Hill Regional Hospital's published 45 CFR § 180 self-pay cash rate is $166,580 (vs. $166,580 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$147,148 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($166,580) is $147,148 above the denoised Fair BaseRate ($19,432) and 11.9× the $14,044 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: 742425482

Public IRS & CMS ownership records classify Hill Regional 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 Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)65%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-12-23·administrative_or_closure
Closure Notice
Recorded
2024-10-04·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (107 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

Above-Benchmark Price Tier

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

Price Index: 2.03× regional baseline

Quality: 54/100 CMS composite

Median Household Income$63,147U.S. Census ACS

Local Uninsured Share17.7%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 66/100 · Caution CMS CCN 451395 EIN 742425482

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 451395) ↗ Verify IRS Form 990 (EIN 742425482) ↗ CMS HCRIS Cost Reports ↗

Published MRF File742425482_hill-regional-hospital_standardcharges.json

Publication / Vintage2025-11-06 · 16.50 MB

Validated Rate Rows804 (CMS v3.0.0)

File Integrity Digest4d5bb2fcfe07dd20d477…

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