Mid Coast Medical Center-Trinity
317 Prospect Drive, Trinity, TX 75862 · 85 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Mid Coast Medical Center-Trinity concentrates commercial margin in outpatient surgical suites (19.5× Medicare) and specialty drug infusions (6.2× Medicare) relative to routine diagnostics (8.1×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (85/100 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 (95.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 19.5× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (6.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 6.6× Medicare (31¢ 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 Mid Coast Medical Center-Trinity
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,805 | 3.7× |
| Trauma team activation HCPCS Code: G0390 | $3,000 | 2.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,151 | 3.7× |
| Blood transfusion CPT Code: 36430 | $2,123 | 4.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,090 | 4.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,980 | 5.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,870 | 7.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,870 | 5.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,870 | 4.2× |
| Rabies immune globulin HCPCS Code: 90375 | $1,692 | 5.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,650 | 6.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,430 | 8.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,430 | 4.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,430 | 4.2× |
| CT scan, sinuses CPT Code: 70486 | $1,320 | 8.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,320 | 7.8× |
| CT scan, pelvis CPT Code: 72192 | $1,210 | 7.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,210 | 7.2× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $851 | 6.4× |
| CT scan, chest (no contrast) CPT Code: 71250 | $784 | 4.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $693 | 2.5× |
| Ultrasound, pelvis CPT Code: 76856 | $641 | 4.9× |
| X-ray, lower back CPT Code: 72110 | $520 | 4.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $535 | 4.2× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $535 | 4.1× |
Audit a Bill or Quote at Mid Coast Medical Center-Trinity (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,615
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (95.0% of gross = $3,615).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Mid Coast Medical Center-Trinity's published 45 CFR § 180 self-pay cash rate is $3,805 (vs. $3,805 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($3,805) is $2,784 above the denoised Fair BaseRate ($1,021) and 4.3× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (95.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. 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 Mid Coast Medical Center-Trinity.
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.