How many shoppable procedure prices are published for Matagorda Regional Medical Center?

Matagorda Regional Medical Center in Bay City, TX currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Matagorda Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Matagorda Regional Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Matagorda Regional Medical Center's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 45 Beds · rural Updated: 1/23/2026

Matagorda Regional Medical Center

104 7Th Street, Bay City, TX 77414 · 102 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.39×vs. Fair Market Price

Typical commercial prices here are +39% above the fair benchmark (1.39×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic80

Peer Alignment72

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.39× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +38% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Matagorda Regional Medical Center prices routine shoppable procedures at 1.9× Medicare (median 1.25× Fair BaseRate) while upper-quartile commercial rates jump +38% to 1.72× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#213 of 307 in TX · 69th State Percentile#2,437 of 3,385 in U.S. · 71st 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 77% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 63% patient recommendation (65/100 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 2.4× markup over Medicare rates
Commercial insurance median sits at 1.25× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.72×) jump +38% above the median procedure ratio (Q50 1.25×)
Consolidated metro market (HHI 9,189) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.68× Divergence

1.3× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 1.12× · Q50 1.25× · Q75 1.72×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.2× MedicareGood

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 65/100Fair

Procedure Prices at Matagorda Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 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`	—	$38,114	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,445	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,294	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,801	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,607	$8,223	1.0×
Total knee replacement CPT Code: `27447`	—	$8,250	$13,523	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$3,501	$6,109	0.6×
Inguinal hernia repair CPT Code: `49505`	—	$2,271	$3,629	0.6×
C-section delivery (full package) CPT Code: `59510`	—	$2,182	$2,975	0.7×
Breast lump removal CPT Code: `19120`	—	$2,128	$3,875	0.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,063	$3,372	0.6×
Bunion correction surgery CPT Code: `28296`	—	$2,063	$3,446	0.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,968	$2,680	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,214	$1,554	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$1,498	$2,540	0.6×
Rabies immune globulin HCPCS Code: `90375`	$2,450	$768	$322	2.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$730	$1,256	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,382	$704	$511	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$632	$987	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$627	$981	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$964	$590	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$768	$590	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$854	$590	$369	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$916	$575	$448	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$825	$515	$303	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$602	$477	$272	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$297	$497	$148	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$993	$452	$258	1.8×
Blood transfusion CPT Code: `36430`	$476	$476	$498	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$497	$855	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$856	$452	$242	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$905	$398	$583	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$304	$384	$86	unverified
CT scan, head (no contrast) CPT Code: `70450`	$765	$317	$160	2.0×
CT scan, pelvis CPT Code: `72192`	$765	$317	$163	1.9×
CT scan, sinuses CPT Code: `70486`	$765	$317	$166	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$413	$317	$167	1.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$765	$317	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$765	$317	$169	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$127	$241	$86	2.8×
Orthotic fitting and training CPT Code: `97760`	$149	$145	$51	2.8×
Screening mammogram (both breasts) CPT Code: `77067`	$166	$166	$123	unverified
X-ray, pelvis CPT Code: `72170`	$283	$137	$110	1.2×
X-ray, shoulder CPT Code: `73030`	$207	$114	$92	1.2×
X-ray, foot CPT Code: `73630`	$249	$114	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$217	$114	$93	1.2×
X-ray, hand CPT Code: `73130`	$211	$114	$93	1.2×
X-ray, hip CPT Code: `73502`	$194	$114	$93	1.2×
X-ray, ankle CPT Code: `73610`	$266	$114	$93	1.2×
X-ray, lower back CPT Code: `72110`	$322	$137	$112	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$464	$137	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$412	$137	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$359	$137	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$512	$137	$134	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$63	$104	$35	3.0×
Physical therapy (gait training) CPT Code: `97116`	$47	$94	$33	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$57	$107	$38	2.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$112	$112	$201	0.6×
Prosthetic fitting and training CPT Code: `97761`	$63	$125	$45	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$48	$86	$34	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$73	$95	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$54	$108	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$625	$604	$347	1.7×
Drug screening test HCPCS Code: `G0480`	—	$149	$116	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$131	$161	$140	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$100	$92	$56	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$70	$72	$48	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$46	$14	3.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$162	$71	$64	1.1×
Blood test, vitamin D CPT Code: `82306`	—	$38	$31	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$61	$61	$123	0.5×
X-ray, chest (single view) CPT Code: `71045`	$45	$45	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$45	$45	$93	0.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$56	$56	$40	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$70	$70	$49	unverified
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$13	$10	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$19	$15	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$24	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$25	$20	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	—	$11	$9	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$22	$18	1.2×
Culture, bacterial CPT Code: `87070`	—	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	—	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Culture, blood CPT Code: `87040`	—	$13	$11	1.2×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×

Showing top 25 high-impact procedures of 102 total

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

Audit a Bill or Quote at Matagorda Regional Medical Center (Zero PHI Required)

CMS CCN: 450465

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,114

1. Amount on Your Bill or Quote ($) Pre-filled with Matagorda Regional 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Matagorda Regional Medical Center'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 +$60,699 Above Fair BaseRate

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

Your bill ($91,474) is $60,699 above the denoised Fair BaseRate ($30,775) and 3.9× 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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

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

Safety Composite65/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait122 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 Infectionsame

Source: CMS Hospital Care Compare (140 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Matagorda Regional Medical Center.

Price Index: 1.09× regional baseline

Quality: 56/100 CMS composite

Median Household Income$55,174U.S. Census ACS

Local Uninsured Share17.9%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 79/100 · Corroborated CMS CCN 450465

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 450465) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/23/2026

Validated Rate Rows5,621 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450465

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