How many shoppable procedure prices are published for Palestine Regional Medical Center?

Palestine Regional Medical Center in Palestine, TX currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Palestine Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Palestine Regional Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Palestine Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Palestine Regional Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 148 Beds · rural Updated: 2026-04-01

Palestine Regional Medical Center

2900 S Loop 256, Palestine, TX 75801 · 110 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.17×vs. Fair Market Price

Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic100

Peer Alignment71

Clean Billing69

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.17× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Palestine Regional Medical Center commands a 1.17× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#143 of 307 in TX · 46th State Percentile#1,926 of 3,385 in U.S. · 56th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.01× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 59% patient recommendation (67/100 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 1.5× markup over Medicare rates
Captive ER (1.7×) & laboratory (1.6×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Specialty infusion drugs (J-codes) average 1.2× 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

1.2× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 1.01× · Q50 1.19× · Q75 1.23×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.2× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 67/100Fair

Procedure Prices at Palestine Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,956	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,487	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,387	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,167	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$13,026	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,026	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,937	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,804	$6,109	1.3×
Breast lump removal CPT Code: `19120`	—	$5,054	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$4,622	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,224	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	—	$4,224	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,979	$2,540	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,545	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,200	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,171	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,109	$1,021	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,013	$2,680	0.4×
C-section delivery (full package) CPT Code: `59510`	—	$1,013	$2,975	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$911	$855	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$705	$583	1.2×
Blood transfusion CPT Code: `36430`	—	$606	$498	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$450	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$450	$511	0.9×
Rabies immune globulin HCPCS Code: `90375`	$398	$398	$322	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$308	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$308	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	—	$308	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	—	$308	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	—	$308	$369	0.8×
Neurobehavioral status check CPT Code: `96116`	—	$279	$231	1.2×
CT scan, head (with contrast) CPT Code: `70460`	—	$226	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$226	$258	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$172	$128	unverified
X-ray, pelvis CPT Code: `72170`	—	$135	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	—	$112	$92	1.2×
X-ray, shoulder CPT Code: `73030`	—	$112	$92	1.2×
X-ray, foot CPT Code: `73630`	—	$112	$92	1.2×
X-ray, lower back CPT Code: `72110`	—	$135	$112	1.2×
X-ray, chest (two views) CPT Code: `71046`	—	$112	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$112	$93	1.2×
X-ray, hand CPT Code: `73130`	—	$112	$93	1.2×
X-ray, hip CPT Code: `73502`	—	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	—	$112	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$135	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	—	$135	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$135	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$135	$134	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$135	$148	0.9×
CT scan, head (no contrast) CPT Code: `70450`	—	$135	$160	0.8×
CT scan, pelvis CPT Code: `72192`	—	$135	$163	0.8×
CT scan, sinuses CPT Code: `70486`	—	$135	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	—	$135	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$135	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$135	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	—	$98	$86	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$107	$123	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$83	$83	$151	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,655	$1,655	$347	4.8×
Pneumococcal vaccine HCPCS Code: `90732`	$327	$327	$140	2.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$257	$257	$111	2.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$165	$165	$56	2.9×
Drug screening test HCPCS Code: `G0480`	—	$147	$116	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$88	$88	$37	2.4×
Blood antibody screen CPT Code: `86850`	—	$67	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	—	$60	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$60	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	—	$60	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$76	$64	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$34	$27	1.3×
Orthotic fitting and training CPT Code: `97760`	—	$59	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	—	$52	$45	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$42	$38	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	—	$37	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$45	$40	unverified
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$24	$19	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$25	$20	1.3×
Blood test, vitamin D CPT Code: `82306`	—	$38	$31	1.2×
Physical therapy (gait training) CPT Code: `97116`	—	$38	$33	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$43	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	—	$41	$38	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$14	$11	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$37	$35	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	—	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$17	$14	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	—	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	—	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	—	$19	$16	1.2×
Culture, blood CPT Code: `87040`	—	$13	$11	1.2×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$16	$14	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$29	$27	1.1×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$16	$35	0.5×
Blood test, liver function panel CPT Code: `80076`	—	$10	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$12	$10	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	—	$22	$18	unverified

Showing top 25 high-impact procedures of 110 total

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

Audit a Bill or Quote at Palestine Regional Medical Center (Zero PHI Required)

CMS CCN: 450747

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,956

1. Amount on Your Bill or Quote ($) Pre-filled with Palestine Regional Medical Center’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 Palestine Regional Medical Center'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 +$31,519 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($62,294) is $31,519 above the denoised Fair BaseRate ($30,775) and 2.7× 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)

Public IRS & CMS ownership records classify Palestine Regional 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

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait134 min

Left ER Before Seen1%

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 Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-07-16·administrative_or_closure
Met Requirements
Recorded
2024-12-09·administrative_or_closure
Closure Notice
Recorded
2024-08-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (198 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 Palestine Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-43.4%

UTMB

+84.8%

Median Household Income$58,846U.S. Census ACS

Local Uninsured Share18.3%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 78/100 · Corroborated CMS CCN 450747

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 450747) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows900 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450747

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