PAM Rehabilitation Hospital of Allen
1001 Raintree Circle, Allen, TX 75013 · 86 Priced Procedures
Typical commercial prices here are +127% above the fair benchmark (2.27×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
PAM Rehabilitation Hospital of Allen prices routine shoppable procedures near 7.2× Medicare (p50 1.51×) while skewing captive emergency, lab, and upper-quartile codes to 16.8× Medicare (p75 4.07×, +170% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.83× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
- Captive ER (1.9×) & laboratory (3.1×) services average 2.33× higher multiples than routine shoppable care (7.2×)
- Upper-quartile procedures (Q75 4.07×) jump +170% above the median procedure ratio (Q50 1.51×)
- Unnegotiated chargemaster list prices average 16.1× Medicare (20¢ 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 PAM Rehabilitation Hospital of Allen
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $6,681 | 13.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,637 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $4,301 | 12.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $4,301 | 11.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $4,301 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $4,186 | 16.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $3,758 | 15.5× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,648 | 12.0× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $3,590 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,999 | 3.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,432 | 15.2× |
| CT scan, pelvis CPT Code: 72192 | $2,432 | 14.9× |
| CT scan, sinuses CPT Code: 70486 | $2,432 | 14.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,432 | 14.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,432 | 14.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,432 | 14.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,889 | 0.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,752 | 1.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,351 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $1,152 | 0.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,088 | 0.3× |
| Bunion correction surgery CPT Code: 28296 | $1,088 | 0.3× |
| Breast lump removal CPT Code: 19120 | $964 | 0.2× |
| Ultrasound, pelvis CPT Code: 76856 | $864 | 6.6× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $864 | 6.4× |
Audit a Bill or Quote at PAM Rehabilitation Hospital of Allen (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
PAM Rehabilitation Hospital of Allen's published 45 CFR § 180 self-pay cash rate is $10,689 (vs. $6,681 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($10,689) is $10,178 above the denoised Fair BaseRate ($511) and 30.0× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify PAM Rehabilitation Hospital of Allen 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.
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 PAM Rehabilitation Hospital of Allen.
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.