Kimble Hospital
349 Reid Road, Junction, TX 76849 · 53 Priced Procedures
Typical commercial prices here are +79% above the fair benchmark (1.79×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Kimble Hospital prices routine shoppable procedures near 2.9× Medicare (p50 1.86×) while skewing captive emergency, lab, and upper-quartile codes to 6.3× Medicare (p75 1.96×, +5% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.33× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 75% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (68/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.6× markup over Medicare rates
- Captive ER (4.2×) & laboratory (5.5×) services average 2.17× higher multiples than routine shoppable care (2.9×)
- Specialty infusion drugs (J-codes) average 3.3× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 8.4× Medicare (28¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Kimble Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 53 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $1,445 | unverified |
| CT scan, sinuses CPT Code: 70486 | $999 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $882 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $690 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $524 | 4.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $508 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $474 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $493 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $355 | 1.3× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $303 | 1.7× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $220 | 1.3× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $239 | 1.2× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $237 | unverified |
| X-ray, lower back CPT Code: 72110 | $203 | unverified |
| X-ray, pelvis CPT Code: 72170 | $180 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $203 | unverified |
| Group therapy session CPT Code: 90853 | $165 | 1.6× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $125 | 2.0× |
| X-ray, ankle CPT Code: 73610 | $103 | 1.1× |
| X-ray, shoulder CPT Code: 73030 | $95 | 1.0× |
| X-ray, foot CPT Code: 73630 | $95 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $96 | 1.0× |
| X-ray, hand CPT Code: 73130 | $95 | 1.0× |
| X-ray, hip CPT Code: 73502 | $86 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $88 | unverified |
Audit a Bill or Quote at Kimble Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($1,445) Beats Your Bill
Kimble Hospital's published 45 CFR § 180 self-pay cash rate is $1,445 (vs. $1,445 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($8,223).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Kimble 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kimble Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.