How many shoppable procedure prices are published for Mc Camey Hospital?

Mc Camey Hospital in McCamey, TX currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mc Camey Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mc Camey Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 13 Beds · rural Updated: 2025-12-28

Mc Camey Hospital

2500 Hwy 305 South, McCamey, TX 79752 · 115 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.13×vs. Fair Market Price

Typical commercial prices here are +13% above the fair benchmark (1.13×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness60

Price Logic87

Peer Alignment65

Clean Billing74

Real Cash Discount100

Premium Quality Tier

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

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Mc Camey Hospital maintains elevated commercial insurance contracts (1.13× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 53% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#127 of 307 in TX · 41st State Percentile#1,804 of 3,385 in U.S. · 53rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% 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 2.0× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.37×) jump +33% above the median procedure ratio (Q50 1.03×)
Unnegotiated chargemaster list prices average 10.2× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.63× Divergence

1.0× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 0.93× · Q50 1.03× · Q75 1.37×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

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

0.6× MedicareGood

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

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Mc Camey Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 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`	—	$41,879	$30,775	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,886	$19,087	1.0×
Total hip replacement CPT Code: `27130`	—	$19,300	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$19,300	$13,523	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,110	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,337	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,909	$8,223	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,985	$1,453	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,889	$6,109	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,526	$1,021	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$1,152	$3,629	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,088	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	—	$1,088	$3,446	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,039	$855	1.2×
Breast lump removal CPT Code: `19120`	—	$964	$3,875	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$850	$2,540	0.3×
Psychological testing by technician CPT Code: `96138`	—	$599	$395	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,370	$611	$583	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,625	$499	$448	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$467	$231	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$462	$511	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$429	$1,256	0.3×
Rabies immune globulin HCPCS Code: `90375`	—	$400	$322	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$312	$148	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,229	$334	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,325	$328	$303	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$335	$987	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$329	$981	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	—	$294	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	—	$294	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	—	$294	$369	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$254	$123	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$454	$241	$166	1.5×
Family therapy session CPT Code: `90847`	$510	$241	$173	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$548	$241	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$241	$185	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,500	$244	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,895	$244	$258	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$193	$128	1.5×
Blood transfusion CPT Code: `36430`	$191	$191	$498	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$211	$25	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$161	$145	$64	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	—	$147	$86	1.7×
Group therapy session CPT Code: `90853`	$548	$139	$100	1.4×
X-ray, pelvis CPT Code: `72170`	$263	$146	$110	1.3×
Ultrasound, pelvis CPT Code: `76856`	$638	$148	$130	1.1×
X-ray, chest (single view) CPT Code: `71045`	$159	$121	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$324	$121	$92	1.3×
X-ray, foot CPT Code: `73630`	$318	$121	$92	1.3×
X-ray, lower back CPT Code: `72110`	$413	$146	$112	1.3×
X-ray, chest (two views) CPT Code: `71046`	$244	$121	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$244	$121	$93	1.3×
X-ray, hand CPT Code: `73130`	$287	$121	$93	1.3×
X-ray, hip CPT Code: `73502`	$288	$121	$93	1.3×
X-ray, ankle CPT Code: `73610`	$336	$121	$93	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$581	$146	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$456	$146	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$581	$146	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,313	$146	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$1,650	$146	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,388	$146	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,238	$146	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,575	$146	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,500	$146	$169	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$80	$80	$14	5.7×
Physical therapy (gait training) CPT Code: `97116`	$85	$85	$33	2.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$101	$85	$35	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$129	$88	$38	2.3×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$88	$38	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$82	$91	$40	2.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$110	$110	$151	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$112	$84	$34	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$109	$89	$38	2.3×
Prosthetic fitting and training CPT Code: `97761`	$101	$97	$45	2.2×
Orthotic fitting and training CPT Code: `97760`	—	$90	$51	1.8×
Drug screening test HCPCS Code: `G0480`	—	$96	$116	0.8×
Typhoid vaccine HCPCS Code: `90675`	$118	$118	$347	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$48	$25	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$60	$35	1.7×
Speech therapy (group session) CPT Code: `92508`	—	$45	$27	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	—	$69	$49	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$116	$29	$20	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$44	$47	$48	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$134	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$88	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$110	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$34	$30	$31	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$56	$47	$49	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$56	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$126	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$104	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$95	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$74	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$64	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$59	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$104	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$129	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$121	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$163	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$35	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$173	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$164	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$146	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$130	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$114	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$109	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$75	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$21	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$168	$15	$46	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$18	$18	$140	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$23	$23	$201	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$29	$29	$86	unverified

Showing top 25 high-impact procedures of 115 total

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

Audit a Bill or Quote at Mc Camey Hospital (Zero PHI Required)

CMS CCN: 451309

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $41,879

1. Amount on Your Bill or Quote ($) Pre-filled with Mc Camey 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 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 Mc Camey 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 +$69,735 Above Fair BaseRate

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

Your bill ($100,510) is $69,735 above the denoised Fair BaseRate ($30,775) and 4.3× 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)

EIN: 751246166

Public IRS & CMS ownership records classify Mc Camey 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 ↑

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 Mc Camey Hospital.

Price Index: 1.60× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Capstar

-42.9%

Median Household Income$52,321U.S. Census ACS

Local Uninsured Share14.8%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 77/100 · Corroborated CMS CCN 451309 EIN 751246166

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

MRF Portal Indexed (mccamey!751246166_mccamey-county-hospital-district_standardcharges.csv) Verify on CMS Medicare.gov (CCN 451309) ↗ Verify IRS Form 990 (EIN 751246166) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemccamey!751246166_mccamey-county-hospital-district_standardcharges.csv

Publication / Vintage2025-12-28 · 1.43 MB

Validated Rate Rows2,442 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451309

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

Mc Camey Hospital

Cash-Arbitrage Bifurcated Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Mc Camey Hospital

Audit a Bill or Quote at Mc Camey Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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