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Hospital Profile Acute Care Hospital Proprietary 41 Beds · urban Updated: 01/21/2025

Kell West Regional Hospital

5420 Kell West Boulevard, Wichita Falls, TX 76310 · 76 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.52×vs. Fair Market Price
Position vs. 1.00× Fair Price+52% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).65/100 · Caution
65/100Self-Pay Cash Beats Insurance 33% of the Time
File Completeness72Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic43Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment82Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing67Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount66Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score65/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait121 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Kell West Regional Hospital prices routine shoppable procedures near 1.8× Medicare (p50 1.36×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.99×, +46% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#230 of 307 in TX · 74th State Percentile#2,673 of 3,385 in U.S. · 78th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 33% of shoppable procedures (66/100 Cash Honesty)
  • CMS clinical safety score (65/100 safety score) with 73% 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)

  • Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
  • Captive ER (1.0×) & laboratory (2.1×) services average 1.11× higher multiples than routine shoppable care (1.8×)
  • Upper-quartile procedures (Q75 1.99×) jump +46% above the median procedure ratio (Q50 1.36×)
  • Consolidated metro market (HHI 6,663) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
1.8× Medicare

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

Back-Door Captive & ER1.11× Divergence
2.0× Medicare

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

Quantile Tail Spread+46% Upper Tail
Q25 1.06× · Q50 1.36× · Q75 1.99×

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
1.8× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.2× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.1× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.0× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.1× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
33% Cash Edge · 66/100Fair
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 65/100Fair

Procedure Prices at Kell West Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,100 1.1×
MRI, brain (with and without contrast)
CPT Code: 70553
 $588 1.2×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $557 1.2×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $510 0.9×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $370 1.4×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $359 1.2×
MRI, lower back (no contrast)
CPT Code: 72148
 $359 1.1×
MRI, brain (no contrast)
CPT Code: 70551
 $359 1.0×
MRI, knee or other leg joint
CPT Code: 73721
 $359 1.0×
Ultrasound, thyroid and neck
CPT Code: 76536
 $325 unverified
Ultrasound, pelvis
CPT Code: 76856
 $277 2.1×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $277 2.1×
CT scan, head (with contrast)
CPT Code: 70460
 $281 1.2×
CT scan, head (with and without contrast)
CPT Code: 70470
 $281 1.1×
X-ray, lower back
CPT Code: 72110
 $277 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
 $277 unverified
X-ray, neck (cervical spine)
CPT Code: 72040
 $197 2.1×
X-ray, shoulder
CPT Code: 73030
 $191 2.1×
X-ray, foot
CPT Code: 73630
 $186 2.0×
X-ray, hand
CPT Code: 73130
 $186 2.0×
X-ray, ankle
CPT Code: 73610
 $186 2.0×
CT scan, head (no contrast)
CPT Code: 70450
 $173 1.1×
CT scan, pelvis
CPT Code: 72192
 $173 1.1×
CT scan, sinuses
CPT Code: 70486
 $173 1.0×
CT scan, chest (no contrast)
CPT Code: 71250
 $173 1.0×
Showing top 25 high-impact procedures of 76 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 450827
CPT 95810
Fair BaseRate™ $1,021
Medicare Rate $877
Self-Pay Cash $1,967
Insurer Median $1,100
Pre-filled with Kell West Regional Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 $2,023 Paying Cash

Self-Pay Cash Rate ($1,967) Beats Your Bill

Kell West Regional Hospital's published 45 CFR § 180 self-pay cash rate is $1,967 (vs. $1,100 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,969 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($3,990) is $2,969 above the denoised Fair BaseRate ($1,021) and 4.5× the $877 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 Kell West 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

Safety Composite65/100
Would Recommend73%
Rated 9 or 10 (HCAHPS)71%
Median ER Wait121 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate4.4%

CMS Price Transparency Administrative Enforcement Log

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

  • 2025-03-20·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-03-14·warning_notice

    Warning Notice

    Recorded
  • 2023-05-04·administrative_or_closure

    Closure Notice

    Recorded
  • 2023-04-19·cmp_monetary_penalty

    CMP Notice

    Recorded
  • 2022-11-07·cap_corrective_action

    CAP Request

    Recorded
  • 2022-07-27·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (92 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.89× regional baseline
Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
-58.4%
Humana
+97.8%
Median Household Income$62,168U.S. Census ACS
Local Uninsured Share15.2%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 65/100 · Caution CMS CCN 450827

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450827) ↗ CMS HCRIS Cost Reports ↗
Published MRF File345b72_fbd63326b89f4304afd8af8ddb892451.csv
Publication / Vintage01/21/2025 · 81.60 MB
Validated Rate Rows1,022 (CMS v2.0.0)
File Integrity Digestbced85a00469be7f9cf4…

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