How many shoppable procedure prices are published for Methodist Hospital?

Methodist Hospital in San Antonio, TX currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

What is Methodist Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Methodist Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 1785 Beds · rural Updated: 2026-09-01

Methodist Hospital

7700 Floyd Curl Dr, San Antonio, TX 78229 · 124 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.08×vs. Fair Market Price

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness60

Price Logic94

Peer Alignment76

Clean Billing92

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.08× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Methodist Hospital prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (1.08× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#92 of 307 in TX · 29th State Percentile#1,633 of 3,385 in U.S. · 48th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (61/100 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)

Even at low-cost facilities (1.08× 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 0.98× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.31×) jump +34% above the median procedure ratio (Q50 0.98×)
Unnegotiated chargemaster list prices average 19.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.77× Divergence

1.0× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.85× · Q50 0.98× · Q75 1.31×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.8× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 61/100Elevated

Procedure Prices at Methodist Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 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`	—	$26,392	$30,775	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,854	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,554	$19,087	0.9×
Total hip replacement CPT Code: `27130`	—	$16,121	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,121	$13,523	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,481	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,998	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,377	$6,109	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,894	$3,372	unverified
Breast lump removal CPT Code: `19120`	—	$4,051	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,777	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,563	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,451	$3,446	1.0×
Trauma team activation HCPCS Code: `G0390`	$9,422	$2,807	$1,453	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,916	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,507	$1,703	$1,021	1.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,377	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,341	$987	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,323	$981	1.3×
Neurobehavioral status check CPT Code: `96116`	$1,086	$1,086	$231	4.7×
Rabies immune globulin HCPCS Code: `90375`	$6,592	$687	$322	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$595	$595	$166	3.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$595	$595	$181	3.3×
Group therapy session CPT Code: `90853`	$569	$569	$100	5.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$554	$554	$201	unverified
Family therapy session CPT Code: `90847`	$472	$472	$173	2.7×
Blood transfusion CPT Code: `36430`	$4,713	$465	$498	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,694	$427	$583	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$14,859	$367	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$12,741	$386	$511	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,412	$324	$151	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$289	$289	$86	3.4×
New patient office visit (30-44 min) CPT Code: `99203`	$777	$244	$110	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$856	$252	$123	2.0×
MRI, brain (no contrast) CPT Code: `70551`	$6,043	$238	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$5,826	$245	$369	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,863	$207	$258	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,807	$208	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$11,369	$221	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$8,231	$232	$338	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$945	$173	$64	2.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$611	$163	$87	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$6,743	$179	$242	0.7×
X-ray, lower back CPT Code: `72110`	$2,556	$197	$112	unverified
X-ray, chest (two views) CPT Code: `71046`	$1,255	$128	$93	1.4×
X-ray, hip CPT Code: `73502`	$1,134	$149	$93	unverified
X-ray, pelvis CPT Code: `72170`	$988	$108	$110	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,934	$123	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,452	$123	$134	0.9×
Ultrasound, pelvis CPT Code: `76856`	$3,060	$113	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,752	$102	$126	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$6,391	$123	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$4,822	$123	$163	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,026	$111	$148	0.8×
CT scan, sinuses CPT Code: `70486`	$6,805	$123	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$6,686	$123	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,857	$123	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,857	$123	$169	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,280	$143	$93	unverified
X-ray, shoulder CPT Code: `73030`	$1,986	$134	$92	unverified
X-ray, hand CPT Code: `73130`	$2,039	$141	$93	unverified
X-ray, ankle CPT Code: `73610`	$1,911	$142	$93	unverified
X-ray, foot CPT Code: `73630`	$1,911	$137	$92	unverified
X-ray, chest (single view) CPT Code: `71045`	$1,133	$94	$92	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$1,009	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$2,842	$2,842	$347	8.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,235	$380	$203	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$927	$240	$140	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$692	$193	$111	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$132	$132	$49	2.7×
Colorectal cancer screening HCPCS Code: `G0010`	$132	$132	$49	2.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$396	$100	$56	1.8×
Drug screening test HCPCS Code: `G0480`	$774	$117	$116	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$132	$75	$48	1.6×
Psychological testing evaluation CPT Code: `96136`	—	$72	$128	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$146	$40	$25	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$319	$61	$39	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$143	$57	$37	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$1,524	$78	$86	0.9×
Psychological testing by technician CPT Code: `96138`	—	$72	$395	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$33	$25	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$322	$45	$51	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$954	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$451	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$385	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$656	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$202	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$756	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$494	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$362	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$371	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$218	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$710	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$1,880	$30	$31	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$816	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$1,439	$8	$9	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$544	$32	$38	0.8×
Blood test, sodium CPT Code: `84295`	$218	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$202	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$305	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$638	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$970	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$886	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$710	$20	$20	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$33	$34	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$710	$17	$18	0.9×
Speech therapy (group session) CPT Code: `92508`	$786	$25	$27	0.9×
Prosthetic fitting and training CPT Code: `97761`	$376	$40	$45	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$379	$33	$38	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$553	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$310	$28	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$395	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$499	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$531	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$231	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$19	$35	0.5×
Blood antibody screen CPT Code: `86850`	$454	$10	$46	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$1,630	$10	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$218	$4	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$305	$4	$5	unverified

Showing top 25 high-impact procedures of 124 total

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

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

CMS CCN: 450388

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $26,392

1. Amount on Your Bill or Quote ($) Pre-filled with Methodist 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 Methodist 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 +$32,566 Above Fair BaseRate

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

Your bill ($63,341) is $32,566 above the denoised Fair BaseRate ($30,775) and 2.7× 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: 742730328

Public IRS & CMS ownership records classify Methodist 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite61/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait134 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionworse

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (3,795 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 Methodist Hospital.

Price Index: 1.10× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-42.2%

Evernorth Behavioral Health

+253.9%

Median Household Income$70,571U.S. Census ACS

Local Uninsured Share15.9%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 68/100 · Caution CMS CCN 450388 EIN 742730328

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450388) ↗ Verify IRS Form 990 (EIN 742730328) ↗ CMS HCRIS Cost Reports ↗

Published MRF File74-2730328_METHODIST-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 971.03 MB

Validated Rate Rows12,649 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450388

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