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

Pampa Regional Medical Center in Pampa, TX currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Pampa Regional Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-03-17

Pampa Regional Medical Center

1 Medical Plaza, Pampa, TX 79065 · 102 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness51

Price Logic99

Peer Alignment73

Clean Billing77

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Pampa Regional Medical Center prices routine shoppable procedures near 0.8× Medicare (p50 0.75×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.35×, +80% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#38 of 307 in TX · 12th State Percentile#815 of 3,385 in U.S. · 24th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (85/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.92× 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 (1.1×) & laboratory (3.1×) services average 1.75× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.35×) jump +80% above the median procedure ratio (Q50 0.75×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.75× Divergence

1.4× Medicare

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

Quantile Tail Spread+80% Upper Tail

Q25 0.56× · Q50 0.75× · Q75 1.35×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

0.7× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Pampa 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 102 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`	—	$18,623	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,492	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,902	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,362	$8,223	1.1×
Total knee replacement CPT Code: `27447`	$1,700	$8,140	$13,523	unverified
Total hip replacement CPT Code: `27130`	$2,256	$7,831	$13,413	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,196	$3,442	$6,109	0.6×
Vaginal delivery (full package) CPT Code: `59400`	$580	$2,897	$2,680	1.1×
Trauma team activation HCPCS Code: `G0390`	—	$2,549	$1,453	1.8×
Breast lump removal CPT Code: `19120`	$839	$2,229	$3,875	0.6×
Inguinal hernia repair CPT Code: `49505`	$1,091	$2,184	$3,629	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,844	$1,996	$3,372	0.6×
Bunion correction surgery CPT Code: `28296`	$1,511	$1,944	$3,446	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$733	$713	$1,256	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$628	$553	$987	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$692	$542	$981	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$553	$86	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$870	$506	$1,021	0.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$431	$855	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$682	$322	$583	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,353	$234	$448	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,141	$234	$511	0.5×
Blood transfusion CPT Code: `36430`	$244	$188	$498	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$201	$147	$201	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$341	$153	$272	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,038	$160	$303	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$825	$160	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$852	$160	$343	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$954	$160	$369	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$85	$120	$148	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$623	$118	$242	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$733	$118	$258	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$42	$136	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$79	$92	$86	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$153	$107	$166	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$142	$107	$181	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$91	$107	$185	0.6×
X-ray, pelvis CPT Code: `72170`	$66	$84	$110	unverified
Drug screening test HCPCS Code: `G0480`	—	$144	$116	1.2×
Blood test, vitamin D CPT Code: `82306`	$57	$43	$31	1.4×
Orthotic fitting and training CPT Code: `97760`	$34	$67	$51	1.3×
Prosthetic fitting and training CPT Code: `97761`	$21	$59	$45	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$24	$48	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$32	$49	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$46	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$32	$46	$38	1.2×
Group therapy session CPT Code: `90853`	$60	$65	$100	0.7×
X-ray, chest (single view) CPT Code: `71045`	$87	$58	$92	0.6×
X-ray, shoulder CPT Code: `73030`	$112	$58	$92	0.6×
X-ray, foot CPT Code: `73630`	$226	$58	$92	0.6×
X-ray, lower back CPT Code: `72110`	$192	$70	$112	0.6×
X-ray, chest (two views) CPT Code: `71046`	$97	$58	$93	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$111	$58	$93	0.6×
X-ray, hand CPT Code: `73130`	$102	$58	$93	0.6×
X-ray, hip CPT Code: `73502`	$101	$58	$93	0.6×
X-ray, ankle CPT Code: `73610`	$104	$58	$93	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$186	$70	$126	0.6×
Ultrasound, pelvis CPT Code: `76856`	$227	$70	$130	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$192	$70	$132	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$276	$70	$134	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$522	$70	$160	0.4×
CT scan, pelvis CPT Code: `72192`	$563	$70	$163	0.4×
CT scan, sinuses CPT Code: `70486`	$535	$70	$166	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$562	$70	$167	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$675	$70	$168	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$643	$70	$169	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$83	$36	$64	0.6×
Blood test, calcium CPT Code: `82310`	$7	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$9	$6	1.5×
Culture, bacterial CPT Code: `87070`	$42	$13	$9	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$39	$20	$14	1.4×
Blood test, lipase CPT Code: `83690`	$41	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$6	$10	$7	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$19	$27	$19	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$28	$20	1.4×
Physical therapy (gait training) CPT Code: `97116`	$30	$41	$33	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$33	$41	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$39	$34	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$5	$3	1.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$17	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$14	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$43	$21	$15	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$11	$8	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$84	$15	$11	1.4×
Culture, blood CPT Code: `87040`	$62	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	$19	$14	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$69	$12	$9	1.3×
Blood test, amylase CPT Code: `82150`	$39	$9	$7	1.3×
Speech therapy (group session) CPT Code: `92508`	$64	$34	$27	1.3×
Blood antibody screen CPT Code: `86850`	$11	$32	$46	0.7×
Blood test, hemoglobin CPT Code: `85018`	—	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$2	$11	$10	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$29	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	—	$28	$48	0.6×
Blood test, vitamin B12 CPT Code: `82607`	$39	$22	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$66	$24	$18	unverified

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.0%

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

CMS CCN: 451398

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $18,623

1. Amount on Your Bill or Quote ($) Pre-filled with Pampa 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 501(r) AGB Cap: $8,045 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,045

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.0% of gross = $8,045).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Pampa 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 +$25,608 Above Fair BaseRate

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

Your bill ($44,695) is $25,608 above the denoised Fair BaseRate ($19,087) and 3.2× 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (18.0% 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.

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

Safety Composite85/100

Median ER Wait104 min

Left ER Before Seen0%

CMS Price Transparency Administrative Enforcement Log

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

2025-08-28·administrative_or_closure
Closure Notice
Recorded
2025-07-21·warning_notice
Warning Notice
Recorded
2024-05-13·administrative_or_closure
Closure Notice
Recorded
2024-02-06·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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 Pampa Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 57/100 CMS composite

Median Household Income$56,082U.S. Census ACS

Local Uninsured Share18.2%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 80/100 · Corroborated CMS CCN 451398

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 451398) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows2,226 (CMS v3.0)

File Integrity DigestVerified · CCN 451398

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