How many shoppable procedure prices are published for Lake Granbury Medical Center?

Lake Granbury Medical Center in Granbury, TX currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lake Granbury Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lake Granbury Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Lake Granbury Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Lake Granbury Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 53 Beds · urban Updated: 2026-04-01

Lake Granbury Medical Center

1310 Paluxy Rd, Granbury, TX 76048 · 103 Priced Procedures · 51% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.21×vs. Fair Market Price

Typical commercial prices here are +21% above the fair benchmark (1.21×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness61

Price Logic90

Peer Alignment70

Clean Billing82

Real Cash Discount100

Regional Value Leader

2-Star CMS clinical quality rating paired with 1.21× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Lake Granbury Medical Center commands a 1.21× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#164 of 307 in TX · 53rd State Percentile#2,046 of 3,385 in U.S. · 60th 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 72% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 51% 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 3.6× markup over Medicare rates
Commercial insurance median sits at 1.18× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.87× Divergence

1.3× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 1.06× · Q50 1.18× · Q75 1.33×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.6× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.7× MedicareWatchout

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

1.1× MedicareGood

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

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at Lake Granbury Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$34,639	$25,383	$13,413	unverified
Total knee replacement CPT Code: `27447`	$37,304	$25,383	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,698	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,595	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,321	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,842	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$17,054	$6,646	$6,109	1.1×
Inguinal hernia repair CPT Code: `49505`	$12,209	$3,936	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$13,242	$3,597	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$23,876	$3,597	$3,446	1.0×
Trauma team activation HCPCS Code: `G0390`	$891	$2,970	$1,453	2.0×
Cataract surgery with lens implant CPT Code: `66984`	$5,804	$2,537	$2,540	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,750	$1,338	$855	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$4,632	$1,316	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,953	$1,180	$1,021	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,093	$1,093	$151	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,617	$1,022	$981	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,174	$1,047	$583	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$4,259	$997	$987	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,046	$579	$369	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,244	$587	$511	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,243	$531	$448	1.2×
Blood transfusion CPT Code: `36430`	$767	$499	$498	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$902	$377	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$944	$377	$343	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,082	$330	$242	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,319	$336	$258	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,952	$338	$303	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$334	$305	$272	1.1×
Rabies immune globulin HCPCS Code: `90375`	$454	$288	$322	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$336	$180	$126	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$291	$180	$134	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$322	$195	$148	1.3×
CT scan, pelvis CPT Code: `72192`	$823	$200	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$805	$200	$166	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$977	$180	$160	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,214	$180	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,132	$180	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,114	$180	$169	1.1×
Ultrasound, pelvis CPT Code: `76856`	$303	$187	$130	unverified
X-ray, pelvis CPT Code: `72170`	$36	$131	$110	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$246	$152	$132	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$335	$172	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$35	$109	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$64	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$68	$109	$92	1.2×
X-ray, lower back CPT Code: `72110`	$60	$132	$112	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$155	$134	$201	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$157	$93	$35	2.7×
X-ray, chest (two views) CPT Code: `71046`	$43	$109	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$50	$109	$93	1.2×
X-ray, hand CPT Code: `73130`	$67	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$38	$109	$93	1.2×
X-ray, ankle CPT Code: `73610`	$68	$109	$93	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$193	$114	$34	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$132	$84	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$189	$89	$123	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$143	$87	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,138	$595	$347	1.7×
Pneumococcal vaccine HCPCS Code: `90732`	$157	$140	$140	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$179	$69	$35	2.0×
Physical therapy (gait training) CPT Code: `97116`	$156	$57	$33	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$110	$64	$40	1.6×
Prosthetic fitting and training CPT Code: `97761`	$99	$62	$45	1.4×
Blood antibody screen CPT Code: `86850`	$69	$57	$46	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$44	$37	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$35	$53	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$53	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$53	$49	1.1×
Orthotic fitting and training CPT Code: `97760`	$84	$46	$51	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$163	$68	$86	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$24	$20	$20	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$111	$33	$38	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$52	$47	$56	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$83	$53	$111	0.5×
Blood test, calcium CPT Code: `82310`	$73	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$40	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$72	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$11	$8	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$146	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$209	$41	$31	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$58	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	$191	$20	$15	1.3×
Culture, bacterial CPT Code: `87070`	$119	$12	$9	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$125	$13	$10	1.3×
Blood test, amylase CPT Code: `82150`	$106	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$95	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$90	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$148	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$123	$14	$11	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$5	$4	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$57	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$230	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$436	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$200	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$170	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$150	$19	$19	1.0×
Blood test, hemoglobin CPT Code: `85018`	$31	$3	$3	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$82	$13	$14	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$164	$21	$16	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$40	$6	$4	unverified

Showing top 25 high-impact procedures of 103 total

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

Audit a Bill or Quote at Lake Granbury Medical Center (Zero PHI Required)

CMS CCN: 450596

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $34,639

Insurer Median $25,383

1. Amount on Your Bill or Quote ($) Pre-filled with Lake Granbury Medical Center’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 Save $157,797 Paying Cash

Self-Pay Cash Rate ($34,639) Beats Your Bill

Lake Granbury Medical Center's published 45 CFR § 180 self-pay cash rate is $34,639 (vs. $25,383 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$179,023 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($192,436) is $179,023 above the denoised Fair BaseRate ($13,413) and 14.7× the $13,117 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 Lake Granbury Medical Center 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 Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend51%

Rated 9 or 10 (HCAHPS)55%

Median ER Wait128 min

Left ER Before Seen1%

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 Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-04-16·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (423 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 Lake Granbury Medical Center.

Price Index: 1.00× regional baseline

Quality: 46/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-63.1%

Median Household Income$86,802U.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 80/100 · Corroborated CMS CCN 450596

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 450596) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows11,688 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450596

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