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Hospital Profile Acute Care Hospital Proprietary 22 Beds · urban Updated: 2026-03-23

Methodist Southlake Medical Center

421 E State Highway 114, Southlake, TX 76092 · 96 Priced Procedures · 90% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.22×vs. Fair Market Price
Position vs. 1.00× Fair Price+22% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +22% above the fair benchmark (1.22×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).92/100 · Verified
92/100Self-Pay Cash Beats Insurance 35% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic94Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment77Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing85Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Benchmark Tier
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score74/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait136 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Methodist Southlake Medical Center maintains elevated commercial insurance contracts (1.22× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 35% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#171 of 307 in TX · 55th State Percentile#2,073 of 3,385 in U.S. · 61st National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.17× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 35% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (74/100 safety score) with 90% 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 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 15.0× 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+7% Upper Tail
Q25 1.17× · Q50 1.45× · Q75 1.55×

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
35% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 74/100Fair

Procedure Prices at Methodist Southlake Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
$33,085 1.1×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$22,260 1.1×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$20,869 1.1×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$20,456 1.1×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$8,375 1.0×
Trauma team activation
HCPCS Code: G0390
$1,744 1.2×
Sleep study (overnight, in lab)
CPT Code: 95810
$1,339 1.3×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$789 unverified
Blood transfusion
CPT Code: 36430
$699 1.4×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$569 1.3×
MRI, brain (with and without contrast)
CPT Code: 70553
$574 1.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$393 1.3×
MRI, lower back (no contrast)
CPT Code: 72148
$393 1.2×
MRI, brain (no contrast)
CPT Code: 70551
$393 1.1×
MRI, knee or other leg joint
CPT Code: 73721
$393 1.1×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$360 1.3×
CT scan, head (with contrast)
CPT Code: 70460
$289 1.2×
CT scan, head (with and without contrast)
CPT Code: 70470
$289 1.1×
Diagnostic mammogram (both breasts)
CPT Code: 77066
$258 unverified
Screening mammogram (both breasts)
CPT Code: 77067
$208 unverified
X-ray, lower back
CPT Code: 72110
$170 1.5×
X-ray, pelvis
CPT Code: 72170
$166 1.5×
Ultrasound, abdomen (limited)
CPT Code: 76705
$176 1.4×
Ultrasound, thyroid and neck
CPT Code: 76536
$176 1.3×
Ultrasound, abdomen (complete)
CPT Code: 76700
$176 1.3×
Showing top 25 high-impact procedures of 96 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 670132
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash $29,413
Insurer Median $33,085
Pre-filled with Methodist Southlake Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 Save $68,629 Paying Cash

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

Methodist Southlake Medical Center's published 45 CFR § 180 self-pay cash rate is $29,413 (vs. $33,085 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) For-Profit / Non-501(c)(3)

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

EIN: 750800661
Filing Period: 193702

Public IRS & CMS ownership records classify Methodist Southlake Medical Center 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

Safety Composite74/100
Would Recommend90%
Rated 9 or 10 (HCAHPS)91%
Median ER Wait136 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (95 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 Southlake Medical Center.

Price Index: 0.59× regional baseline
Quality: 61/100 CMS composite
Median Household Income$81,905U.S. Census ACS
Local Uninsured Share16.6%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 92/100 · Verified CMS CCN 670132 EIN 750800661

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

Published MRF File750800661_MethodistSouthlakeMedicalCenter_standardcharges.zip!750800661_MethodistSouthlakeMedicalCenter_standardcharges.csv
Publication / Vintage2026-03-23 · 40.40 MB
Validated Rate Rows7,378 (CMS v3.0.0)
File Integrity Digest25f909aa7ec15911d200…

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.