How many shoppable procedure prices are published for PAM Specialty Hospital of San Antonio Medical Center?

PAM Specialty Hospital of San Antonio Medical Center in San Antonio, TX currently has 130 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do PAM Specialty Hospital of San Antonio Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, PAM Specialty Hospital of San Antonio Medical Center's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-08-06

PAM Specialty Hospital of San Antonio Medical Center

8902 Floyd Curl Dr, San Antonio, TX 78240 · 130 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.60×vs. Fair Market Price

Typical commercial prices here are 40% below the fair benchmark (0.60×) after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness100

Price Logic89

Peer Alignment34

Clean Billing77

Real Cash Discount6

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 Specialty Hospital of San Antonio Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.61× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.67× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#2 of 307 in TX · 1st State Percentile#78 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 40% below peer Fair BaseRate (0.60×)
Self-pay cash beats commercial insurance on 6% 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 (0.60× 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 (0.9×) & laboratory (0.8×) services average 1.33× higher multiples than routine shoppable care (0.6×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 19.1× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER1.33× Divergence

0.8× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 0.47× · Q50 0.61× · Q75 0.67×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

1.1× MedicareGood

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

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at PAM Specialty Hospital of San Antonio Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 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`	—	$37,434	$19,087	2.0×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,056	$30,775	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,149	$17,936	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,540	$19,432	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,800	$2,680	0.7×
C-section delivery (full package) CPT Code: `59510`	—	$1,800	$2,975	0.6×
X-ray, chest (single view) CPT Code: `71045`	$730	$730	$92	7.9×
X-ray, pelvis CPT Code: `72170`	$629	$629	$110	5.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$545	$2,540	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$513	$513	$64	8.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$510	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$485	$3,446	0.1×
Inguinal hernia repair CPT Code: `49505`	—	$499	$3,629	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$473	$1,021	0.5×
Rabies immune globulin HCPCS Code: `90375`	—	$402	$322	1.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$406	$406	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,538	$340	$511	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$14,531	$312	$448	0.7×
Behavioral health residential care HCPCS Code: `H0011`	—	$256	$364	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$221	$369	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$170	$151	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$180	$185	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,720	$203	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$7,176	$196	$338	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,791	$160	$258	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,364	$177	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$2,364	$192	$1,256	0.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$150	$181	0.8×
CT scan, sinuses CPT Code: `70486`	$4,762	$122	$166	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$9,735	$142	$303	0.5×
CT scan, pelvis CPT Code: `72192`	$3,806	$115	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$6,723	$115	$167	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$4,722	$116	$169	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$6,022	$115	$168	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$4,458	$133	$242	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,398	$146	$272	0.5×
Family therapy session CPT Code: `90847`	—	$118	$173	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$106	$166	0.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$112	$257	0.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$121	$343	0.4×
Blood transfusion CPT Code: `36430`	$135	$135	$498	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$2,273	$132	$987	0.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$93	$148	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$4,225	$92	$160	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,129	$113	$583	0.2×
Typhoid vaccine HCPCS Code: `90675`	—	$455	$347	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$192	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$1,654	$141	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$107	$111	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$55	$56	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$61	$86	0.7×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$60	$88	0.7×
Drug screening test HCPCS Code: `G0480`	$839	$76	$116	0.7×
Care planning with family CPT Code: `90887`	—	$69	$107	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	—	$77	$123	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$77	$123	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	—	$65	$110	0.6×
Review of medical records for care CPT Code: `90889`	—	$65	$114	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$77	$231	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$22	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$33	$39	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$31	$37	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$441	$49	$86	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$698	$71	$132	0.5×
Group therapy session CPT Code: `90853`	—	$52	$100	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,016	$66	$134	0.5×
Ultrasound, pelvis CPT Code: `76856`	$1,758	$61	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,051	$50	$126	0.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$23	$33	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$169	$4	$6	0.7×
Culture, bacterial CPT Code: `87070`	$350	$6	$9	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$13	$20	0.7×
Culture, blood CPT Code: `87040`	$699	$7	$11	0.6×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$10	$16	0.6×
Orthotic fitting and training CPT Code: `97760`	$254	$31	$51	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$169	$3	$5	0.6×
Hepatitis C antibody test CPT Code: `86803`	$573	$9	$15	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$284	$24	$40	0.6×
Prosthetic fitting and training CPT Code: `97761`	$177	$27	$45	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$52	$87	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$221	$22	$38	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$22	$38	0.6×
Physical therapy (gait training) CPT Code: `97116`	$316	$19	$33	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$266	$8	$14	0.6×
Speech therapy (group session) CPT Code: `92508`	$97	$15	$27	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$241	$21	$38	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$235	$19	$35	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	$211	$17	$34	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$17	$35	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$12	$25	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$14	$34	0.4×
Behavioral health day program HCPCS Code: `H2012`	—	$39	$100	0.4×
X-ray, hip CPT Code: `73502`	$920	$30	$93	0.3×
X-ray, lower back CPT Code: `72110`	—	$32	$112	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$158	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$75	$3	$4	0.8×
Blood test, lipase CPT Code: `83690`	$419	$5	$7	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$879	$6	$9	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$110	$2	$3	0.7×
Blood test, hemoglobin CPT Code: `85018`	$159	$2	$3	0.7×
Blood test, vitamin D CPT Code: `82306`	$1,073	$20	$31	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,019	$9	$14	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$157	$9	$14	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,450	$7	$11	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$665	$12	$19	0.6×
Blood test, vitamin B12 CPT Code: `82607`	$554	$10	$16	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$360	$5	$8	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$474	$11	$18	0.6×
Blood test, calcium CPT Code: `82310`	$150	$3	$5	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$150	$3	$5	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$155	$6	$10	0.6×
Blood test, potassium CPT Code: `84132`	$150	$3	$5	0.6×
Blood test, sodium CPT Code: `84295`	$44	$3	$5	0.6×
Blood test, amylase CPT Code: `82150`	$466	$4	$7	0.6×
Blood test, magnesium CPT Code: `83735`	$282	$4	$7	0.6×
Blood test, liver function panel CPT Code: `80076`	$1,011	$5	$9	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$816	$24	$93	0.3×
X-ray, hand CPT Code: `73130`	$787	$23	$93	0.2×
X-ray, ankle CPT Code: `73610`	$734	$23	$93	0.2×
X-ray, foot CPT Code: `73630`	$555	$22	$92	0.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$36	$157	0.2×
X-ray, shoulder CPT Code: `73030`	$564	$21	$92	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$29	$140	0.2×
X-ray, chest (two views) CPT Code: `71046`	$819	$19	$93	0.2×
Mental health services (therapy) HCPCS Code: `H0032`	—	$12	$65	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$22	$128	0.2×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$26	$269	0.1×
Psychological testing by technician CPT Code: `96138`	—	$32	$395	0.1×
Blood antibody screen CPT Code: `86850`	$307	$6	$46	0.1×
Community mental health services HCPCS Code: `H0038`	—	$2	$16	0.1×

Showing top 25 high-impact procedures of 130 total

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

Audit a Bill or Quote at PAM Specialty Hospital of San Antonio Medical Center (Zero PHI Required)

CMS CCN: 452059

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $37,434

1. Amount on Your Bill or Quote ($) Pre-filled with PAM Specialty Hospital of San Antonio 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 PAM Specialty Hospital of San Antonio 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 +$70,755 Above Fair BaseRate

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

Your bill ($89,842) is $70,755 above the denoised Fair BaseRate ($19,087) and 6.4× 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)

EIN: 842809028

Public IRS & CMS ownership records classify PAM Specialty Hospital of San Antonio 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 ↑

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 Specialty Hospital of San Antonio Medical Center.

Price Index: 1.64× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-76.3%

Median Household Income$62,203U.S. Census ACS

Local Uninsured Share17.6%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 65/100 · Caution CMS CCN 452059 EIN 842809028

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 452059) ↗ Verify IRS Form 990 (EIN 842809028) ↗ CMS HCRIS Cost Reports ↗

Published MRF File842809028_pam-specialty-hospital-of-san-antonio-llc_standardcharges.csv

Publication / Vintage2026-08-06 · 69.72 MB

Validated Rate Rows1,103 (CMS v3.0.0)

File Integrity Digest71e866a8709f0df3f1d1…

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