Rock Springs
700 Southeast Inner Loop, Georgetown, TX 78626 · 3 Priced Procedures
Typical commercial prices here are +133% above the fair benchmark (2.33×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Rock Springs prices shoppable and inpatient services (2.6× to 2.6× Medicare, divergence 1.00×) in alignment with regional hospital peers (2.33× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.21× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 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
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.2× markup over Medicare rates
- Commercial insurance median sits at 2.31× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 3.0× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 2.6× Medicare (46¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Rock Springs
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 3 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Psychotherapy session (45 minutes) CPT Code: 90834 | $383 | 2.3× |
| Family therapy session CPT Code: 90847 | $383 | 2.2× |
| Group therapy session CPT Code: 90853 | $383 | unverified |
Audit a Bill or Quote at Rock Springs (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Rock Springs's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $166 Fair BaseRate ($181 Medicare)
Your bill ($382) is $216 above the denoised Fair BaseRate ($166) and 2.1× the $181 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Rock Springs 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Rock Springs. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-11-14·administrative_or_closure
Closure Notice
Recorded - 2025-09-26·cap_corrective_action
CAP Request
Recorded - 2025-06-24·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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rock Springs.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.