How many shoppable procedure prices are published for PAM Rehabilitation Hospital of Victoria?

PAM Rehabilitation Hospital of Victoria in Victoria, TX currently has 69 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do PAM Rehabilitation Hospital of Victoria's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, PAM Rehabilitation Hospital of Victoria's median negotiated commercial rate is 0.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2025-09-11

PAM Rehabilitation Hospital of Victoria

101 James Coleman Dr, Victoria, TX 77904 · 69 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.30×vs. Fair Market Price

Typical commercial prices here are 70% below the fair benchmark (0.30×) after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness66

Price Logic96

Peer Alignment52

Clean Billing76

Real Cash Discount9

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

PAM Rehabilitation Hospital of Victoria maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.30× Fair BaseRate) and emergency/ancillary services (0.6× Medicare, p75 0.30× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 307 in TX · 1st State Percentile#7 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 70% below peer Fair BaseRate (0.30×)
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

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.30× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.7×) & laboratory (3.6×) services average 1.20× higher multiples than routine shoppable care (0.5×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 16.7× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.5× Medicare

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

Back-Door Captive & ER1.20× Divergence

0.6× Medicare

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

Quantile Tail Spread+0% Upper Tail

Q25 0.30× · Q50 0.30× · Q75 0.30×

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

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

1.1× MedicareGood

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

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at PAM Rehabilitation Hospital of Victoria

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 69 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$11,377	$11,377	$511	22.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,599	$9,599	$448	21.4×
MRI, lower back (no contrast) CPT Code: `72148`	$7,324	$7,324	$338	21.7×
MRI, brain (no contrast) CPT Code: `70551`	$7,058	$7,058	$343	20.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,867	$6,867	$258	26.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,213	$6,213	$303	20.5×
CT scan, head (with contrast) CPT Code: `70460`	$6,167	$6,167	$242	25.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,561	$4,561	$981	4.6×
CT scan, head (no contrast) CPT Code: `70450`	$3,991	$3,991	$160	24.9×
CT scan, pelvis CPT Code: `72192`	$3,991	$3,991	$163	24.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,991	$3,991	$168	23.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,991	$3,991	$169	23.6×
Ultrasound, pelvis CPT Code: `76856`	$1,313	$1,313	$130	10.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,266	$1,266	$134	9.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,236	$1,236	$583	2.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,116	$1,116	$126	8.9×
CT scan, sinuses CPT Code: `70486`	$1,054	$1,054	$166	6.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,047	$1,047	$167	6.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$715	$715	$272	2.6×
X-ray, shoulder CPT Code: `73030`	$662	$662	$92	7.2×
X-ray, chest (two views) CPT Code: `71046`	$615	$615	$93	6.6×
X-ray, pelvis CPT Code: `72170`	$625	$625	$110	5.7×
X-ray, foot CPT Code: `73630`	$596	$596	$92	6.5×
X-ray, hip CPT Code: `73502`	$554	$554	$93	6.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$477	$477	$93	5.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$410	$410	$14	29.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$391	$391	$64	6.1×
X-ray, hand CPT Code: `73130`	$404	$404	$93	4.3×
Blood transfusion CPT Code: `36430`	$428	$428	$498	0.9×
X-ray, chest (single view) CPT Code: `71045`	$345	$345	$92	3.8×
X-ray, ankle CPT Code: `73610`	$318	$318	$93	3.4×
Upper endoscopy with biopsy CPT Code: `43239`	$2,503	$300	$987	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$260	$86	3.0×
Speech therapy (group session) CPT Code: `92508`	$187	$187	$27	6.9×
Orthotic fitting and training CPT Code: `97760`	$184	$184	$51	3.6×
Physical therapy (manual therapy) CPT Code: `97140`	$145	$145	$34	4.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$159	$159	$201	0.8×
Physical therapy (gait training) CPT Code: `97116`	$126	$126	$33	3.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$126	$35	3.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$126	$126	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$126	$126	$40	3.1×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$119	$38	3.1×
Drug screening test HCPCS Code: `G0480`	$1,236	$1,236	$116	10.7×
Blood test, vitamin D CPT Code: `82306`	$832	$832	$31	26.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$656	$656	$11	59.6×
Blood test, calcium CPT Code: `82310`	$617	$617	$5	123.4×
Blood test, basic metabolic panel CPT Code: `80048`	$503	$503	$9	55.9×
Blood test, liver function panel CPT Code: `80076`	$420	$420	$9	46.7×
Culture, bacterial CPT Code: `87070`	$349	$349	$9	38.8×
Culture, blood CPT Code: `87040`	$374	$374	$11	34.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$262	$262	$14	18.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$285	$285	$19	15.0×
Blood test, hemoglobin CPT Code: `85018`	$213	$213	$3	71.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$237	$237	$14	16.9×
Hepatitis C antibody test CPT Code: `86803`	$230	$230	$15	15.3×
Blood test, vitamin B12 CPT Code: `82607`	$242	$242	$16	15.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$246	$246	$18	13.7×
Blood test, lipase CPT Code: `83690`	$214	$214	$7	30.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$176	$176	$6	29.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$145	$145	$5	29.0×
Blood test, amylase CPT Code: `82150`	$145	$145	$7	20.7×
Blood test, magnesium CPT Code: `83735`	$145	$145	$7	20.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$165	$165	$10	16.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$127	$127	$5	25.4×
Blood test, potassium CPT Code: `84132`	$127	$127	$5	25.4×
Blood test, sodium CPT Code: `84295`	$127	$127	$5	25.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$143	$143	$8	17.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$117	$117	$3	39.0×
Blood antibody screen CPT Code: `86850`	$83	$83	$46	1.8×

Showing top 25 high-impact procedures of 69 total

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

Audit a Bill or Quote at PAM Rehabilitation Hospital of Victoria (Zero PHI Required)

CMS CCN: 673056

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $11,377

Insurer Median $11,377

1. Amount on Your Bill or Quote ($) Pre-filled with PAM Rehabilitation Hospital of Victoria’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 Published Cash: $11,377

Compare Prompt-Pay Cash Rate Against Remaining Deductible

PAM Rehabilitation Hospital of Victoria's published 45 CFR § 180 self-pay cash rate is $11,377 (vs. $11,377 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$10,866 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($11,377) is $10,866 above the denoised Fair BaseRate ($511) and 32.0× the $356 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 PAM Rehabilitation Hospital of Victoria 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 ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for PAM Rehabilitation Hospital of Victoria.

Price Index: 1.73× regional baseline

Quality: 54/100 CMS composite

Median Household Income$86,821U.S. Census ACS

Local Uninsured Share8.8%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 63/100 · Caution CMS CCN 673056

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 673056) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-09-11

Validated Rate Rows641 (CMS v3.0.0)

File Integrity DigestVerified · CCN 673056

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