How many shoppable procedure prices are published for Navarro Regional Hospital?

Navarro Regional Hospital in Corsicana, TX currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Navarro Regional Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Navarro Regional Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 47 Beds · rural Updated: 2026-04-01

Navarro Regional Hospital

3201 West Highway 22, Corsicana, TX 75110 · 101 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.29×vs. Fair Market Price

Typical commercial prices here are +29% above the fair benchmark (1.29×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 73% of the Time

File Completeness61

Price Logic95

Peer Alignment71

Clean Billing91

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.29× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Navarro Regional Hospital commands a 1.29× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#198 of 307 in TX · 64th State Percentile#2,230 of 3,385 in U.S. · 65th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 73% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 56% patient recommendation (62/100 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)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.26× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.5× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 1.13× · Q50 1.26× · Q75 1.43×

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

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

1.4× MedicareGood

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

73% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Navarro Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,178	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,041	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,146	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$28,879	$19,710	$13,413	unverified
Total knee replacement CPT Code: `27447`	$28,399	$19,383	$13,523	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,254	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,604	$6,275	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$9,859	$4,106	$3,629	1.1×
Breast lump removal CPT Code: `19120`	$4,884	$4,000	$3,875	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$10,448	$3,753	$3,372	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$4,175	$2,683	$2,540	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,942	$1,725	$1,021	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$4,174	$1,421	$1,256	1.1×
Trauma team activation HCPCS Code: `G0390`	$1,311	$1,333	$1,453	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,232	$1,135	$855	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,953	$1,097	$981	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$4,578	$1,092	$987	1.1×
Blood transfusion CPT Code: `36430`	$864	$784	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,000	$599	$448	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,109	$616	$583	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,680	$520	$369	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,825	$536	$511	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,074	$410	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,194	$343	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,194	$343	$343	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,500	$308	$242	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,760	$308	$258	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$749	$320	$272	1.2×
Rabies immune globulin HCPCS Code: `90375`	$427	$294	$322	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$548	$300	$151	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$275	$203	$86	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$146	$221	$201	1.1×
Ultrasound, pelvis CPT Code: `76856`	$475	$180	$130	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$402	$180	$132	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$475	$180	$134	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,012	$184	$160	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$312	$170	$148	1.1×
CT scan, pelvis CPT Code: `72192`	$1,037	$184	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$1,037	$184	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,037	$184	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,037	$184	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,037	$184	$169	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$475	$180	$126	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$266	$119	$64	1.9×
X-ray, pelvis CPT Code: `72170`	$138	$139	$110	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$272	$150	$123	1.2×
X-ray, chest (single view) CPT Code: `71045`	$139	$115	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$392	$115	$92	1.3×
X-ray, foot CPT Code: `73630`	$294	$115	$92	1.3×
X-ray, lower back CPT Code: `72110`	$229	$139	$112	1.2×
X-ray, chest (two views) CPT Code: `71046`	$174	$115	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$172	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$294	$115	$93	1.2×
X-ray, hip CPT Code: `73502`	$207	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	$294	$115	$93	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$191	$106	$86	1.2×
Typhoid vaccine HCPCS Code: `90675`	$636	$353	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$224	$156	$140	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$118	$93	$37	2.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$81	$63	$35	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$94	$80	$49	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$94	$80	$49	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$178	$99	$111	0.9×
Blood antibody screen CPT Code: `86850`	$184	$97	$46	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$119	$63	$38	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$115	$57	$35	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$94	$80	$48	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$354	$31	$19	1.6×
Physical therapy (gait training) CPT Code: `97116`	$100	$53	$33	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$120	$64	$40	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$47	$21	$14	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$66	$36	$56	0.6×
Physical therapy (manual therapy) CPT Code: `97140`	$118	$54	$34	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$61	$5	$3	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$76	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$76	$9	$6	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$263	$20	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$454	$43	$31	1.4×
Blood test, lipase CPT Code: `83690`	$132	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$129	$10	$7	1.4×
Blood test, calcium CPT Code: `82310`	$100	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$99	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$89	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$93	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$33	$21	$15	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$290	$22	$16	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$150	$11	$8	1.4×
Culture, blood CPT Code: `87040`	$199	$15	$11	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$324	$24	$18	1.3×
Culture, bacterial CPT Code: `87070`	$166	$12	$9	1.3×
Blood test, amylase CPT Code: `82150`	$125	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$239	$13	$11	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$189	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$158	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$258	$14	$14	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$354	$33	$20	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$45	$3	$3	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$19	$25	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$75	$7	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$187	$14	$10	unverified

Showing top 25 high-impact procedures of 101 total

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

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

CMS CCN: 450447

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $22,178

1. Amount on Your Bill or Quote ($) Pre-filled with Navarro Regional 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 Navarro Regional 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 +$34,140 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($53,227) is $34,140 above the denoised Fair BaseRate ($19,087) and 3.8× the $14,117 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)

Public IRS & CMS ownership records classify Navarro Regional 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 Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait180 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Navarro Regional Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (206 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Navarro Regional Hospital.

Price Index: 1.00× regional baseline

Quality: 52/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-70.2%

Molina

-55.8%

Amerigroup

-42.8%

UniCare

+129.1%

Median Household Income$59,310U.S. Census ACS

Local Uninsured Share18.7%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 83/100 · Corroborated CMS CCN 450447

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 450447) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows10,287 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450447

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