How many shoppable procedure prices are published for Rice Medical Center?

Rice Medical Center in Eagle Lake, TX currently has 85 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Rice Medical Center's median negotiated commercial rate is 2.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 21 Beds · rural Updated: dba Rice Medical Center

Rice Medical Center

600 South Austin Road, Eagle Lake, TX 77434 · 85 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.21×vs. Fair Market Price

Typical commercial prices here are +121% above the fair benchmark (2.21×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness56

Price Logic51

Peer Alignment81

Clean Billing69

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +23% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Rice Medical Center prices routine shoppable procedures at 2.7× Medicare (median 2.12× Fair BaseRate) while upper-quartile commercial rates jump +23% to 2.61× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#277 of 307 in TX · 89th State Percentile#3,175 of 3,385 in U.S. · 93rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.72× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (85/100 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)

Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
Commercial insurance median sits at 2.12× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.61×) jump +23% above the median procedure ratio (Q50 2.12×)
Unnegotiated chargemaster list prices average 10.3× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.7× Medicare

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

Back-Door Captive & ER1.04× Divergence

2.8× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 1.72× · Q50 2.12× · Q75 2.61×

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

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.4× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.9× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.9× MedicareWatchout

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

1.3× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Rice Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$1,880	$1,783	$1,021	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,091	$1,447	$448	3.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,549	$1,447	$511	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,815	$883	$303	2.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,822	$883	$338	2.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,621	$883	$343	2.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,632	$883	$369	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,427	$691	$242	2.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,789	$691	$258	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,376	$582	$272	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,419	$482	$583	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,123	$425	$160	2.7×
CT scan, pelvis CPT Code: `72192`	$1,293	$425	$163	2.6×
CT scan, sinuses CPT Code: `70486`	$1,167	$425	$166	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,738	$425	$167	2.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,106	$425	$168	2.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,068	$425	$169	2.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$385	$385	$185	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$308	$308	$166	1.9×
Family therapy session CPT Code: `90847`	$308	$308	$173	1.8×
Neurobehavioral status check CPT Code: `96116`	$329	$329	$231	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$197	$258	$123	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$280	$280	$181	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$441	$276	$110	unverified
X-ray, pelvis CPT Code: `72170`	$329	$225	$110	2.0×
X-ray, lower back CPT Code: `72110`	$635	$225	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$648	$225	$126	1.8×
Ultrasound, pelvis CPT Code: `76856`	$827	$225	$130	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$637	$225	$132	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$882	$225	$134	1.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$513	$241	$148	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$249	$249	$201	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$304	$196	$64	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$285	$185	$87	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$201	$199	$123	1.6×
X-ray, chest (single view) CPT Code: `71045`	$280	$160	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$408	$160	$92	1.7×
X-ray, foot CPT Code: `73630`	$420	$160	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$306	$160	$93	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$363	$160	$93	1.7×
X-ray, hand CPT Code: `73130`	$392	$160	$93	1.7×
X-ray, hip CPT Code: `73502`	$420	$160	$93	1.7×
X-ray, ankle CPT Code: `73610`	$347	$160	$93	1.7×
Group therapy session CPT Code: `90853`	$172	$172	$100	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$161	$161	$86	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$182	$127	$38	3.3×
Blood transfusion CPT Code: `36430`	$769	$141	$498	0.3×
Physical therapy (manual therapy) CPT Code: `97140`	$195	$101	$34	3.0×
Blood test, vitamin D CPT Code: `82306`	$246	$246	$31	7.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$208	$208	$11	18.9×
Culture, blood CPT Code: `87040`	$197	$197	$11	17.9×
Blood test, liver function panel CPT Code: `80076`	$163	$163	$9	18.1×
Blood test, basic metabolic panel CPT Code: `80048`	$156	$156	$9	17.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$151	$151	$14	10.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$166	$166	$18	9.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$161	$161	$19	8.5×
Blood test, sodium CPT Code: `84295`	$89	$89	$5	17.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$105	$105	$6	17.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$112	$112	$8	14.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$123	$123	$20	6.2×
Blood antibody screen CPT Code: `86850`	$129	$129	$46	unverified
Blood test, lipase CPT Code: `83690`	$90	$90	$7	12.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$110	$110	$10	11.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$116	$116	$14	8.3×
Blood test, vitamin B12 CPT Code: `82607`	$113	$113	$16	7.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$184	$133	$56	2.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$59	$3	19.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$65	$65	$5	13.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$48	$4	12.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$44	$44	$4	11.0×
Blood test, magnesium CPT Code: `83735`	$58	$58	$7	8.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$69	$35	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$70	$70	$38	1.8×
Blood test, calcium CPT Code: `82310`	$44	$44	$5	8.8×
Blood test, hemoglobin CPT Code: `85018`	$25	$25	$3	8.3×
Blood test, potassium CPT Code: `84132`	$39	$39	$5	7.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$33	$5	6.6×
Blood test, amylase CPT Code: `82150`	$42	$42	$7	6.0×
Hepatitis C antibody test CPT Code: `86803`	$53	$53	$15	3.5×
Physical therapy (gait training) CPT Code: `97116`	$55	$55	$33	1.7×
Speech therapy (group session) CPT Code: `92508`	$42	$42	$27	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$60	$40	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$42	$42	$38	1.1×
Prosthetic fitting and training CPT Code: `97761`	$53	$53	$45	unverified
Culture, bacterial CPT Code: `87070`	$14	$14	$9	1.6×

Showing top 25 high-impact procedures of 85 total

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

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

CMS CCN: 451312

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $1,880

Insurer Median $1,783

1. Amount on Your Bill or Quote ($) Pre-filled with Rice 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 Save $806 Paying Cash

Self-Pay Cash Rate ($1,880) Beats Your Bill

Rice Medical Center's published 45 CFR § 180 self-pay cash rate is $1,880 (vs. $1,783 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,665 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($2,686) is $1,665 above the denoised Fair BaseRate ($1,021) and 3.1× the $877 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 Rice 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

Safety Composite85/100

Median ER Wait102 min

CMS Price Transparency Administrative Enforcement Log

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

2023-08-24·administrative_or_closure
Closure Notice
Recorded
2023-04-26·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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rice Medical Center.

Price Index: 1.38× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Medcorp Southwest

-45.7%

Median Household Income$68,554U.S. Census ACS

Local Uninsured Share14.0%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 69/100 · Caution CMS CCN 451312

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 451312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintagedba Rice Medical Center

Validated Rate Rows1,432 (CMS v2026-02-19)

File Integrity DigestVerified · CCN 451312

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