How many shoppable procedure prices are published for Houston Methodist Continuing Care Hospital?

Houston Methodist Continuing Care Hospital in Katy, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Houston Methodist Continuing Care Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Houston Methodist Continuing Care Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-04-01

Houston Methodist Continuing Care Hospital

701 S Fry Rd, Katy, TX 77450 · 107 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.67×vs. Fair Market Price

Typical commercial prices here are +67% above the fair benchmark (1.67×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness66

Price Logic74

Peer Alignment64

Clean Billing47

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Houston Methodist Continuing Care Hospital prices shoppable and inpatient services (2.1× to 1.4× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.67× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#242 of 307 in TX · 78th State Percentile#2,856 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.12× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
Commercial insurance median sits at 1.64× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.04×) jump +24% above the median procedure ratio (Q50 1.64×)
Unnegotiated chargemaster list prices average 17.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.67× Divergence

1.4× Medicare

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

Quantile Tail Spread+24% Upper Tail

Q25 1.12× · Q50 1.64× · Q75 2.04×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

2.4× MedicareFair

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

3% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Houston Methodist Continuing Care Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	—	$31,657	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,131	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,911	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,560	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$10,770	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$10,770	$13,523	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,838	$6,109	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,005	$8,223	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$7,542	$2,680	unverified
C-section delivery (full package) CPT Code: `59510`	—	$7,542	$2,975	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$6,735	$2,540	unverified
Inguinal hernia repair CPT Code: `49505`	$7,802	$6,336	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,229	$3,372	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$6,192	$6,192	$1,021	6.1×
Bunion correction surgery CPT Code: `28296`	—	$5,932	$3,446	unverified
Breast lump removal CPT Code: `19120`	—	$4,691	$3,875	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,446	$3,446	$272	12.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,340	$3,340	$583	5.7×
Injection procedure for pain management HCPCS Code: `G0260`	—	$3,102	$855	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$1,120	$1,120	$185	6.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,362	$872	$448	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$896	$896	$1,256	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,616	$854	$511	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$866	$866	$981	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$791	$791	$64	12.4×
Family therapy session CPT Code: `90847`	$755	$755	$173	4.4×
Group therapy session CPT Code: `90853`	$594	$594	$100	5.9×
Blood transfusion CPT Code: `36430`	$603	$603	$498	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$592	$592	$987	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,244	$565	$369	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,336	$515	$343	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,056	$492	$338	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,639	$461	$258	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,763	$442	$148	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,147	$415	$303	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,375	$387	$242	1.6×
CT scan, sinuses CPT Code: `70486`	$1,301	$355	$166	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$716	$365	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,710	$328	$132	2.5×
CT scan, pelvis CPT Code: `72192`	$1,022	$332	$163	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,089	$334	$167	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,291	$338	$169	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,225	$335	$168	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$272	$272	$110	2.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$289	$289	$123	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,662	$307	$134	2.3×
Ultrasound, pelvis CPT Code: `76856`	$2,034	$287	$130	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,120	$271	$160	1.7×
Speech therapy (group session) CPT Code: `92508`	$239	$239	$27	8.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$212	$212	$14	15.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$235	$235	$38	6.2×
Prosthetic fitting and training CPT Code: `97761`	$241	$241	$45	5.4×
Physical therapy (gait training) CPT Code: `97116`	$205	$205	$33	6.2×
Orthotic fitting and training CPT Code: `97760`	$217	$217	$51	4.3×
Speech therapy (language evaluation) CPT Code: `92507`	$229	$229	$86	2.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,981	$234	$126	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$178	$178	$34	5.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$189	$189	$38	5.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$205	$205	$87	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$159	$159	$35	4.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$163	$163	$40	4.1×
Occupational therapy (self-care training) CPT Code: `97535`	$142	$142	$38	3.7×
X-ray, hip CPT Code: `73502`	$655	$147	$93	1.6×
X-ray, lower back CPT Code: `72110`	$1,152	$156	$112	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$641	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$695	$115	$93	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$137	$137	$201	0.7×
X-ray, ankle CPT Code: `73610`	$737	$111	$93	1.2×
X-ray, foot CPT Code: `73630`	$764	$103	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$798	$102	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$998	$93	$93	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$673	$111	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$562	$562	$9	62.4×
Blood test, liver function panel CPT Code: `80076`	$558	$558	$9	62.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$573	$573	$11	52.1×
Hepatitis C antibody test CPT Code: `86803`	$422	$422	$15	28.1×
Culture, blood CPT Code: `87040`	$327	$327	$11	29.7×
Blood test, vitamin B12 CPT Code: `82607`	$304	$304	$16	19.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$273	$273	$3	91.0×
Blood test, lipase CPT Code: `83690`	$238	$238	$7	34.0×
Blood test, magnesium CPT Code: `83735`	$223	$223	$7	31.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$248	$248	$10	24.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$251	$251	$14	17.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$208	$208	$5	41.6×
Culture, bacterial CPT Code: `87070`	$219	$219	$9	24.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$211	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$231	$56	unverified
Blood test, potassium CPT Code: `84132`	$174	$174	$5	34.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$186	$186	$18	10.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$195	$195	$19	10.3×
Blood antibody screen CPT Code: `86850`	$166	$166	$46	3.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$135	$135	$5	27.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$139	$139	$8	17.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$150	$150	$14	10.7×
Blood test, vitamin D CPT Code: `82306`	$164	$164	$31	5.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$110	$110	$4	27.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$108	$108	$4	27.0×
Blood test, sodium CPT Code: `84295`	$130	$130	$5	26.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$98	$98	$6	16.3×
Drug screening test HCPCS Code: `G0480`	$109	$109	$116	0.9×
Blood test, hemoglobin CPT Code: `85018`	$68	$68	$3	22.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$64	$64	$35	1.8×
X-ray, chest (single view) CPT Code: `71045`	$945	$69	$92	0.8×
X-ray, pelvis CPT Code: `72170`	$596	$78	$110	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$42	$42	$86	0.5×
Blood test, calcium CPT Code: `82310`	$9	$9	$5	1.8×
Blood test, amylase CPT Code: `82150`	$11	$11	$7	1.6×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 12.5%

Audit a Bill or Quote at Houston Methodist Continuing Care Hospital (Zero PHI Required)

CMS CCN: 452118

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,657

1. Amount on Your Bill or Quote ($) Pre-filled with Houston Methodist Continuing Care 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: $9,528 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,528

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.5% of gross = $9,528).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Houston Methodist Continuing Care 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 +$45,202 Above Fair BaseRate

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

Your bill ($75,977) is $45,202 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 (12.5% 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 ↑

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 Houston Methodist Continuing Care Hospital.

Price Index: 1.01× regional baseline

Quality: 54/100 CMS composite

Median Household Income$105,607U.S. Census ACS

Local Uninsured Share12.7%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 70/100 · Corroborated CMS CCN 452118

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 452118) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows71 (CMS v3.0.0)

File Integrity DigestVerified · CCN 452118

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