How many shoppable procedure prices are published for Methodist Celina Medical Center?

Methodist Celina Medical Center in Celina, TX currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Methodist Celina Medical Center's commercial prices compare to the fair BaseRate?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Private Updated: 2026-03-23

Methodist Celina Medical Center

1500 S Dallas Parkway, Celina, TX 75009 · 97 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 26% of the Time

File Completeness100

Price Logic97

Peer Alignment70

Clean Billing79

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Methodist Celina Medical Center prices shoppable and inpatient services (1.5× to 1.6× Medicare, divergence 1.07×) in alignment with regional hospital peers (1.20× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#162 of 307 in TX · 52nd State Percentile#2,027 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.15× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Captive ER (2.2×) & laboratory (2.0×) services average 1.07× higher multiples than routine shoppable care (1.5×)
Specialty infusion drugs (J-codes) average 1.7× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 14.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.07× Divergence

1.6× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 1.15× · Q50 1.46× · Q75 1.54×

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

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

1.7× MedicareGood

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

26% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Methodist Celina Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 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`	$29,413	$32,682	$30,775	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$18,034	$19,998	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$23,550	$19,861	$19,087	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$25,980	$18,026	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,844	$7,971	$8,223	1.0×
Trauma team activation HCPCS Code: `G0390`	$1,197	$1,419	$1,453	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,241	$1,022	$1,021	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,473	$787	$583	1.3×
Blood transfusion CPT Code: `36430`	$765	$609	$498	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,601	$568	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,813	$568	$511	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,262	$388	$303	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,473	$388	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,394	$388	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,463	$388	$369	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,235	$285	$242	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,028	$305	$272	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,395	$285	$258	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$348	$250	$148	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	$215	$201	$123	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$102	$223	$151	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$304	$170	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$378	$170	$130	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$298	$170	$132	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$470	$170	$134	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,073	$170	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$1,175	$170	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$1,019	$170	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,176	$170	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,358	$170	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,268	$170	$169	1.0×
X-ray, lower back CPT Code: `72110`	$319	$170	$112	unverified
X-ray, pelvis CPT Code: `72170`	$200	$170	$110	unverified
X-ray, shoulder CPT Code: `73030`	$204	$142	$92	1.5×
X-ray, hip CPT Code: `73502`	$251	$142	$93	1.5×
X-ray, ankle CPT Code: `73610`	$227	$142	$93	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$130	$124	$86	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$127	$140	$110	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$193	$139	$123	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$118	$118	$185	0.6×
X-ray, chest (single view) CPT Code: `71045`	$180	$142	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$195	$142	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$252	$142	$93	unverified
X-ray, hand CPT Code: `73130`	$170	$142	$93	unverified
X-ray, foot CPT Code: `73630`	$194	$142	$92	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$127	$134	$87	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$104	$104	$181	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$209	$623	$203	3.1×
Typhoid vaccine HCPCS Code: `90675`	$465	$518	$347	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$105	$275	$111	2.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$53	$155	$56	2.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$33	$108	$39	2.8×
Pneumococcal vaccine HCPCS Code: `90732`	$131	$131	$140	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$67	$25	2.7×
Hepatitis B vaccine HCPCS Code: `90744`	$36	$86	$37	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$67	$57	$40	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$67	$54	$38	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$45	$34	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$189	$63	$64	1.0×
Blood antibody screen CPT Code: `86850`	$54	$79	$46	unverified
Blood test, vitamin D CPT Code: `82306`	$53	$47	$31	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$65	$65	$201	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$10	$6	1.7×
Blood test, calcium CPT Code: `82310`	$70	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$8	$5	1.6×
Blood test, potassium CPT Code: `84132`	$80	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$81	$8	$5	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$50	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$10	$11	$7	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$210	$14	$9	1.6×
Culture, bacterial CPT Code: `87070`	$21	$14	$9	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$148	$21	$14	1.5×
Blood test, vitamin B12 CPT Code: `82607`	$107	$24	$16	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$39	$6	$4	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$207	$27	$18	1.5×
Speech therapy (group session) CPT Code: `92508`	$66	$39	$27	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$67	$53	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$53	$38	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$67	$47	$35	1.3×
Orthotic fitting and training CPT Code: `97760`	$67	$49	$51	1.0×
Physical therapy (gait training) CPT Code: `97116`	$67	$47	$33	unverified
Prosthetic fitting and training CPT Code: `97761`	$67	$65	$45	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$12	$8	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$83	$21	$14	1.5×
Blood test, liver function panel CPT Code: `80076`	$173	$13	$9	1.4×
Blood test, amylase CPT Code: `82150`	$78	$10	$7	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$28	$4	$3	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$201	$28	$25	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$18	$18	$86	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$243	$17	$11	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$16	$10	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$10	$29	$19	unverified
Culture, blood CPT Code: `87040`	$156	$17	$11	unverified

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 13.5%

Audit a Bill or Quote at Methodist Celina Medical Center (Zero PHI Required)

CMS CCN: 670340

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $29,413

Insurer Median $32,682

1. Amount on Your Bill or Quote ($) Pre-filled with Methodist Celina 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 501(r) AGB Cap: $13,196 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,196

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.5% of gross = $13,196).

Step 2 · Cash vs. Insurance Arbitrage Save $68,629 Paying Cash

Self-Pay Cash Rate ($29,413) Beats Your Bill

Methodist Celina Medical Center's published 45 CFR § 180 self-pay cash rate is $29,413 (vs. $32,682 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$67,267 Above Fair BaseRate

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

Your bill ($98,042) is $67,267 above the denoised Fair BaseRate ($30,775) and 4.2× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 750800661

Filing Period: 193702

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (13.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Regional Quality & Price Benchmark

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

Price Index: 0.53× regional baseline

Quality: 54/100 CMS composite

Median Household Income$117,588U.S. Census ACS

Local Uninsured Share9.9%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 90/100 · Verified CMS CCN 670340 EIN 750800661

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670340) ↗ Verify IRS Form 990 (EIN 750800661) ↗ CMS HCRIS Cost Reports ↗

Published MRF File750800661_MethodistCelinaMedicalCenter_standardcharges.zip!750800661_MethodistCelinaMedicalCenter_standardcharges.csv

Publication / Vintage2026-03-23 · 17.88 MB

Validated Rate Rows4,275 (CMS v3.0.0)

File Integrity Digestfca94ed1559d01d52dd0…

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