Methodist Hospital Atascosa
1905 Hwy 97 East, Jourdanton, TX 78026 · 126 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +31% above the fair benchmark (1.31×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.31× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Methodist Hospital Atascosa prices routine shoppable procedures at 2.1× Medicare (median 1.32× Fair BaseRate) while upper-quartile commercial rates jump +41% to 1.86× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 71% 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)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 1.32× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.86×) jump +41% above the median procedure ratio (Q50 1.32×)
- Unnegotiated chargemaster list prices average 20.3× 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 Methodist Hospital Atascosa
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $23,205 | unverified |
| Total hip replacement CPT Code: 27130 | $23,175 | 1.7× |
| Vaginal delivery (full package) CPT Code: 59400 | $20,929 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $17,295 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,985 | unverified |
| Bunion correction surgery CPT Code: 28296 | $5,240 | 1.5× |
| Inguinal hernia repair CPT Code: 49505 | $5,240 | 1.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,261 | unverified |
| Breast lump removal CPT Code: 19120 | $4,590 | 1.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $4,307 | 1.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $4,327 | 0.5× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $4,327 | unverified |
| Trauma team activation HCPCS Code: G0390 | $3,680 | 2.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,886 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $2,513 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $2,440 | 1.9× |
| Behavioral health counseling (per session) HCPCS Code: H0008 | $2,404 | unverified |
| Behavioral health counseling (group) HCPCS Code: H0009 | $2,404 | unverified |
| Behavioral health day treatment HCPCS Code: H0010 | $2,404 | unverified |
| Behavioral health residential care HCPCS Code: H0011 | $2,404 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,261 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,106 | 2.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,047 | 2.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,916 | 2.2× |
| Blood transfusion CPT Code: 36430 | $1,629 | 3.3× |
Audit a Bill or Quote at Methodist Hospital Atascosa (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
Ask Methodist Hospital Atascosa's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($55,692) is $52,717 above the denoised Fair BaseRate ($2,975) and 22.5× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Methodist Hospital Atascosa 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Methodist Hospital Atascosa. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-06·administrative_or_closure
Met Requirements
Recorded - 2023-10-20·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (147 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 Methodist Hospital Atascosa.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.