Memorial Hospital
1110 North Sarah Dewitt Drive, Gonzales, TX 78629 · 76 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Memorial Hospital prices shoppable and inpatient services (1.4× to 1.1× Medicare, divergence 0.79×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (70/100 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)
- Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.99× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.7× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 7.9× Medicare (14¢ 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 Memorial 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.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $21,354 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $13,716 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,002 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,998 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,278 | 7.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $691 | 1.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $517 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $460 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $450 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $393 | 2.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $286 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $288 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $288 | 0.8× |
| X-ray, lower back CPT Code: 72110 | $222 | 2.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $218 | 1.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $228 | 1.3× |
| CT scan, sinuses CPT Code: 70486 | $218 | 1.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $223 | 0.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $242 | unverified |
| Blood transfusion CPT Code: 36430 | $201 | 0.4× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $163 | 0.8× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $188 | unverified |
| X-ray, hand CPT Code: 73130 | $134 | 1.4× |
| X-ray, pelvis CPT Code: 72170 | $126 | 1.1× |
| Ultrasound, pelvis CPT Code: 76856 | $136 | 1.0× |
Audit a Bill or Quote at Memorial 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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $36,525 (vs. $21,354 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($36,525) is $17,093 above the denoised Fair BaseRate ($19,432) and 2.6× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Memorial 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 (52 completed HCAHPS patient surveys). 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 Memorial 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.