How many shoppable procedure prices are published for Rolling Plains Memorial Hospital?

Rolling Plains Memorial Hospital in Sweetwater, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 40 Beds · rural Updated: 2026-06-25

Rolling Plains Memorial Hospital

200 E Arizona, Sweetwater, TX 79556 · 107 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 88% of the Time

File Completeness85

Price Logic95

Peer Alignment63

Clean Billing86

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Rolling Plains Memorial Hospital prices shoppable and inpatient services (6.8× to 5.1× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 88% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 74% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (79.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

6.8× Medicare

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

Back-Door Captive & ER0.75× Divergence

5.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.4× MedicareGood

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

88% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Rolling Plains Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,857	$17,857	$19,432	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,897	$4,897	$6,109	0.8×
Inguinal hernia repair CPT Code: `49505`	$4,434	$4,434	$3,629	1.2×
C-section delivery (full package) CPT Code: `59510`	$3,807	$3,807	$2,975	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,626	$3,626	$3,372	1.1×
Vaginal delivery (full package) CPT Code: `59400`	$3,379	$3,379	$2,680	1.3×
Breast lump removal CPT Code: `19120`	$3,255	$3,255	$3,875	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,028	$3,028	$448	6.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,569	$2,569	$303	8.5×
Upper endoscopy with biopsy CPT Code: `43239`	$2,464	$2,464	$987	2.5×
Colonoscopy with biopsy CPT Code: `45380`	$2,484	$2,484	$1,256	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,360	$2,360	$1,021	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,265	$2,265	$511	4.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,200	$2,200	$981	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,698	$1,698	$258	6.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,676	$1,676	$338	5.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,676	$1,676	$343	4.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,676	$1,676	$369	4.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,622	$1,622	$242	6.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,433	$1,433	$168	8.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,433	$1,433	$169	8.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,377	$1,377	$167	8.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,342	$1,342	$160	8.4×
CT scan, pelvis CPT Code: `72192`	$1,284	$1,284	$163	7.9×
Trauma team activation HCPCS Code: `G0390`	$1,268	$1,268	$1,453	0.9×
CT scan, sinuses CPT Code: `70486`	$1,030	$1,030	$166	6.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$829	$829	$583	1.4×
Blood transfusion CPT Code: `36430`	$780	$780	$498	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$654	$654	$134	4.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$611	$611	$272	2.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$411	$411	$126	3.3×
Ultrasound, pelvis CPT Code: `76856`	$411	$411	$130	3.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$411	$411	$132	3.1×
X-ray, lower back CPT Code: `72110`	$364	$364	$112	3.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$265	$265	$148	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$238	$238	$151	1.6×
X-ray, chest (two views) CPT Code: `71046`	$207	$207	$93	2.2×
X-ray, shoulder CPT Code: `73030`	$195	$195	$92	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$219	$219	$123	1.8×
X-ray, hip CPT Code: `73502`	$184	$184	$93	2.0×
X-ray, foot CPT Code: `73630`	$180	$180	$92	2.0×
X-ray, hand CPT Code: `73130`	$174	$174	$93	1.9×
X-ray, chest (single view) CPT Code: `71045`	$168	$168	$92	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$168	$168	$93	1.8×
X-ray, ankle CPT Code: `73610`	$168	$168	$93	1.8×
X-ray, pelvis CPT Code: `72170`	$176	$176	$110	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$142	$142	$64	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	$164	$164	$86	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$159	$159	$185	0.9×
Family therapy session CPT Code: `90847`	$130	$130	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$130	$130	$181	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$100	$38	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$93	$93	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$111	$111	$166	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$83	$83	$38	2.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$350	$350	$203	1.7×
Hepatitis C antibody test CPT Code: `86803`	$275	$275	$15	18.3×
Drug screening test HCPCS Code: `G0480`	$221	$221	$116	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$212	$212	$140	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$155	$155	$39	4.0×
Blood test, basic metabolic panel CPT Code: `80048`	$125	$125	$9	13.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$141	$141	$111	1.3×
Blood test, liver function panel CPT Code: `80076`	$111	$111	$9	12.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$134	$134	$11	12.2×
Culture, blood CPT Code: `87040`	$102	$102	$11	9.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$112	$112	$18	6.2×
Blood test, vitamin D CPT Code: `82306`	$124	$124	$31	4.0×
Blood test, lipase CPT Code: `83690`	$86	$86	$7	12.3×
Blood test, amylase CPT Code: `82150`	$73	$73	$7	10.4×
Culture, bacterial CPT Code: `87070`	$81	$81	$9	9.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$84	$84	$14	6.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$79	$79	$14	5.6×
Blood test, vitamin B12 CPT Code: `82607`	$86	$86	$16	5.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$88	$88	$19	4.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$88	$88	$20	4.4×
Blood antibody screen CPT Code: `86850`	$101	$101	$46	2.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$40	$3	13.3×
Blood test, calcium CPT Code: `82310`	$45	$45	$5	9.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$57	$57	$14	4.1×
Physical therapy (gait training) CPT Code: `97116`	$71	$71	$33	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$87	$87	$56	1.6×
Typhoid vaccine HCPCS Code: `90675`	$95	$95	$347	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$54	$6	9.0×
Blood test, magnesium CPT Code: `83735`	$57	$57	$7	8.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$60	$60	$8	7.5×
Hepatitis B vaccine HCPCS Code: `90744`	$74	$74	$37	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$70	$70	$35	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$68	$68	$34	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$67	$38	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$68	$40	1.7×
Prosthetic fitting and training CPT Code: `97761`	$67	$67	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$68	$68	$51	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$62	$62	$201	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$31	$4	7.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$29	$4	7.3×
Blood test, potassium CPT Code: `84132`	$36	$36	$5	7.2×
Blood test, sodium CPT Code: `84295`	$36	$36	$5	7.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$36	$5	7.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$58	$10	5.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$52	$52	$87	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$59	$59	$123	0.5×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	6.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$32	$5	6.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$42	$42	$35	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$31	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$25	$25	$48	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$40	$40	$86	0.5×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 79.8%

Audit a Bill or Quote at Rolling Plains Memorial Hospital (Zero PHI Required)

CMS CCN: 450055

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $17,857

Insurer Median $17,857

1. Amount on Your Bill or Quote ($) Pre-filled with Rolling Plains Memorial Hospital’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: $21,931 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,931

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (79.8% of gross = $21,931).

Step 2 · Cash vs. Insurance Arbitrage Save $9,615 Paying Cash

Self-Pay Cash Rate ($17,857) Beats Your Bill

Rolling Plains Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $17,857 (vs. $17,857 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,040 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($27,472) is $8,040 above the denoised Fair BaseRate ($19,432) and 2.0× the $14,044 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)

EIN: 756003896

Filing Period: 198004

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 (79.8% 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

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait84 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2026-03-05·administrative_or_closure
Met Requirements
Recorded
2024-05-08·administrative_or_closure
Closure Notice
Recorded
2024-02-01·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (112 completed HCAHPS patient surveys). 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 Rolling Plains Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 70/100 CMS composite

Median Household Income$50,160U.S. Census ACS

Local Uninsured Share15.5%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 86/100 · Verified CMS CCN 450055 EIN 756003896

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450055) ↗ Verify IRS Form 990 (EIN 756003896) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileurl

Publication / Vintage2026-06-25 · 17.68 MB

Validated Rate Rows1,424 (CMS v3.0.0)

File Integrity Digestf363eabc62276d5d1cdf…

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