Oakbend Medical Center
1705 Jackson St, Richmond, TX 77469 · 83 Priced Procedures · 59% Patient Recommendation
Typical commercial prices here are +59% above the fair benchmark (1.59×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.59× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Oakbend Medical Center maintains elevated commercial insurance contracts (1.59× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 66% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.34× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 66% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 59% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
- Commercial insurance median sits at 1.79× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.10×) jump +17% above the median procedure ratio (Q50 1.79×)
- Unnegotiated chargemaster list prices average 10.1× 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 Oakbend Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,742 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,380 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,917 | 0.7× |
| Trauma team activation HCPCS Code: G0390 | $1,674 | 1.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $930 | 1.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $800 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $806 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $800 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $618 | 1.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $618 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $618 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $618 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $549 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $434 | 2.6× |
| CT scan, chest (no contrast) CPT Code: 71250 | $434 | 2.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $434 | 2.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $434 | 2.6× |
| Blood transfusion CPT Code: 36430 | $443 | 0.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $434 | unverified |
| CT scan, pelvis CPT Code: 72192 | $434 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $365 | 1.3× |
| New patient office visit (30-44 min) CPT Code: 99203 | $218 | 2.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $218 | 1.8× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $223 | 1.8× |
| Ultrasound, pelvis CPT Code: 76856 | $223 | 1.7× |
Audit a Bill or Quote at Oakbend Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $13,106
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.1% of gross = $13,106).
Self-Pay Cash Rate ($11,333) Beats Your Bill
Oakbend Medical Center's published 45 CFR § 180 self-pay cash rate is $11,333 (vs. $14,742 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($56,664) is $37,577 above the denoised Fair BaseRate ($19,087) and 4.0× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (23.1% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (246 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 Oakbend Medical Center.
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.