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

Riceland Medical Center in Winnie, TX currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Riceland Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · urban Updated: 1/1/2026

Riceland Medical Center

538 Broadway, Winnie, TX 77665 · 95 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness47

Price Logic95

Peer Alignment70

Clean Billing86

Real Cash Discount95

Regional Benchmark Tier

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Riceland Medical Center prices shoppable and inpatient services (1.6× to 1.2× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.20× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#161 of 307 in TX · 52nd State Percentile#2,025 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (95/100 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 1.6× markup over Medicare rates
Commercial insurance median sits at 1.23× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.56×) jump +27% above the median procedure ratio (Q50 1.23×)
Unnegotiated chargemaster list prices average 13.1× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.75× Divergence

1.2× Medicare

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

Quantile Tail Spread+27% Upper Tail

Q25 1.04× · Q50 1.23× · Q75 1.56×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

6.0× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.8× MedicareGood

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

1% Cash Edge · 95/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Riceland Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$16,425	$6,905	$3,875	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$27,804	$5,730	$6,109	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$16,067	$3,492	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$19,689	$3,148	$3,446	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$5,898	$2,310	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$5,898	$1,236	$1,256	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,442	$1,141	$511	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$5,570	$1,006	$987	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,145	$632	$258	2.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,182	$632	$448	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	$7,418	$647	$855	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$3,553	$632	$242	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,737	$581	$303	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$3,851	$581	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,851	$581	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$5,776	$581	$369	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$390	$390	$86	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$801	$265	$126	2.1×
Ultrasound, pelvis CPT Code: `76856`	$801	$265	$130	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$801	$265	$132	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$801	$265	$134	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$974	$283	$148	1.9×
CT scan, head (no contrast) CPT Code: `70450`	$3,257	$286	$160	1.8×
CT scan, sinuses CPT Code: `70486`	$3,257	$286	$166	1.7×
X-ray, lower back CPT Code: `72110`	$631	$236	$112	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$671	$234	$123	1.9×
CT scan, chest (no contrast) CPT Code: `71250`	$3,257	$250	$167	1.5×
CT scan, pelvis CPT Code: `72192`	$3,257	$244	$163	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,257	$252	$169	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,257	$250	$168	1.5×
X-ray, pelvis CPT Code: `72170`	$381	$236	$110	unverified
Group therapy session CPT Code: `90853`	$166	$170	$100	1.7×
Family therapy session CPT Code: `90847`	$792	$185	$173	1.1×
Neurobehavioral status check CPT Code: `96116`	$546	$185	$231	0.8×
X-ray, chest (single view) CPT Code: `71045`	$381	$144	$92	1.6×
X-ray, shoulder CPT Code: `73030`	$571	$144	$92	1.6×
X-ray, foot CPT Code: `73630`	$571	$144	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$381	$144	$93	1.5×
X-ray, hand CPT Code: `73130`	$571	$144	$93	1.5×
X-ray, hip CPT Code: `73502`	$381	$144	$93	1.5×
X-ray, ankle CPT Code: `73610`	$571	$144	$93	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,267	$166	$272	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$381	$128	$93	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$939	$129	$181	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$704	$123	$185	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,267	$139	$583	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$500	$82	$86	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$634	$86	$166	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$109	$100	$201	0.5×
Blood transfusion CPT Code: `36430`	$269	$105	$498	0.2×
Pneumococcal vaccine HCPCS Code: `90732`	$473	$473	$140	3.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$372	$372	$56	6.6×
Drug screening test HCPCS Code: `G0480`	$1,077	$106	$116	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$303	$73	$38	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$427	$59	$35	1.7×
Prosthetic fitting and training CPT Code: `97761`	$303	$73	$45	1.6×
Orthotic fitting and training CPT Code: `97760`	$346	$73	$51	1.4×
Physical therapy (gait training) CPT Code: `97116`	$261	$46	$33	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$274	$46	$34	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$295	$47	$35	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$321	$49	$38	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$308	$48	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$299	$49	$40	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$191	$56	$64	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$303	$72	$110	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$276	$74	$123	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$186	$48	$87	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$181	$4	$3	1.3×
Blood test, lipase CPT Code: `83690`	$129	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$76	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$76	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$209	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$160	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$251	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$252	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$339	$23	$19	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$181	$12	$10	1.2×
Blood test, vitamin D CPT Code: `82306`	$500	$37	$31	1.2×
Blood antibody screen CPT Code: `86850`	$278	$34	$46	0.7×
Blood test, calcium CPT Code: `82310`	$96	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$96	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$87	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$90	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$263	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$278	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$522	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$192	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$309	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$113	$7	$6	1.2×
Blood test, amylase CPT Code: `82150`	$121	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$126	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$351	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$154	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$47	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$205	$5	$5	1.0×

Showing top 25 high-impact procedures of 95 total

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

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

CMS CCN: 451328

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $16,425

Insurer Median $6,905

1. Amount on Your Bill or Quote ($) Pre-filled with Riceland 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 $544 Paying Cash

Self-Pay Cash Rate ($16,425) Beats Your Bill

Riceland Medical Center's published 45 CFR § 180 self-pay cash rate is $16,425 (vs. $6,905 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,094 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($16,969) is $13,094 above the denoised Fair BaseRate ($3,875) and 4.2× the $4,000 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 Riceland 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 Wait100 min

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 Quality & Price Benchmark

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

Price Index: 0.87× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+115.2%

Median Household Income$108,114U.S. Census ACS

Local Uninsured Share16.3%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 79/100 · Corroborated CMS CCN 451328

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

MRF Portal Indexed (soe4aq1e4w73l8yvh2p5i99qn42stidm.csv) Verify on CMS Medicare.gov (CCN 451328) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filesoe4aq1e4w73l8yvh2p5i99qn42stidm.csv

Publication / Vintage1/1/2026 · 0.15 MB

Validated Rate Rows996 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451328

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