How many shoppable procedure prices are published for Sabine County Hospital?

Sabine County Hospital in Hemphill, TX currently has 59 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sabine County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sabine County Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2026-02-10

Sabine County Hospital

Po Box 750, 2301 Hwy 83 W, Hemphill, TX 75948 · 59 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.08×vs. Fair Market Price

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 74% of the Time

File Completeness66

Price Logic49

Peer Alignment69

Clean Billing54

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Sabine County Hospital maintains elevated commercial insurance contracts (1.08× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 74% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#93 of 307 in TX · 29th State Percentile#1,634 of 3,385 in U.S. · 48th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.82× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 74% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 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
Captive ER (1.9×) & laboratory (2.4×) services average 1.31× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.39×) jump +45% above the median procedure ratio (Q50 0.96×)
Unnegotiated chargemaster list prices average 9.4× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.31× Divergence

1.7× Medicare

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

Quantile Tail Spread+45% Upper Tail

Q25 0.82× · Q50 0.96× · Q75 1.39×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

1.5× MedicareGood

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

74% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Sabine County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 59 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$1,665	$1,665	$8,223	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$576	$498	$303	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$350	$350	$132	2.7×
CT scan, chest (no contrast) CPT Code: `71250`	$413	$332	$167	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$395	$317	$160	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$879	$325	$448	0.7×
Blood transfusion CPT Code: `36430`	$464	$295	$498	0.6×
CT scan, sinuses CPT Code: `70486`	$395	$251	$166	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$170	$200	$126	1.6×
CT scan, pelvis CPT Code: `72192`	$788	$173	$163	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$423	$173	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$411	$173	$169	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$574	$152	$272	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$85	$85	$25	3.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$95	$93	$64	1.5×
X-ray, ankle CPT Code: `73610`	$86	$107	$93	1.2×
X-ray, hip CPT Code: `73502`	$72	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$74	$86	$93	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$158	$97	$201	0.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$200	$200	$20	10.0×
Blood test, basic metabolic panel CPT Code: `80048`	$113	$113	$9	12.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$138	$11	12.5×
Hepatitis C antibody test CPT Code: `86803`	$131	$131	$15	8.7×
Culture, blood CPT Code: `87040`	$100	$100	$11	9.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$88	$88	$18	4.9×
Blood test, vitamin D CPT Code: `82306`	$113	$113	$31	3.6×
Blood antibody screen CPT Code: `86850`	$90	$118	$46	2.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$63	$125	$56	2.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$74	$8	9.3×
Culture, bacterial CPT Code: `87070`	$75	$75	$9	8.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$45	$45	$5	9.0×
Blood test, magnesium CPT Code: `83735`	$58	$58	$7	8.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$75	$75	$14	5.4×
Blood test, vitamin B12 CPT Code: `82607`	$75	$75	$16	4.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$75	$75	$19	3.9×
X-ray, foot CPT Code: `73630`	$79	$79	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$80	$76	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$80	$75	$92	0.8×
X-ray, chest (single view) CPT Code: `71045`	$61	$69	$92	0.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$86	$86	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$38	$3	12.7×
Blood test, hemoglobin CPT Code: `85018`	$22	$22	$3	7.3×
Blood test, calcium CPT Code: `82310`	$28	$28	$5	5.6×
Blood test, potassium CPT Code: `84132`	$28	$28	$5	5.6×
Blood test, lipase CPT Code: `83690`	$38	$38	$7	5.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$50	$10	5.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$63	$40	$38	1.1×
Physical therapy (gait training) CPT Code: `97116`	$50	$31	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$50	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$50	$31	$34	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$34	$40	0.8×
X-ray, pelvis CPT Code: `72170`	$79	$50	$110	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$38	$5	unverified
Blood test, liver function panel CPT Code: `80076`	$47	$12	$9	1.3×
X-ray, hand CPT Code: `73130`	$79	$37	$93	0.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$50	$6	unverified
Blood test, amylase CPT Code: `82150`	$35	$10	$7	1.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$35	$4	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$23	$23	$86	unverified

Showing top 25 high-impact procedures of 59 total

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

Audit a Bill or Quote at Sabine County Hospital (Zero PHI Required)

CMS CCN: 451361

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash $1,665

Insurer Median $1,665

1. Amount on Your Bill or Quote ($) Pre-filled with Sabine County 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 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 $1,665 Paying Cash

Self-Pay Cash Rate ($1,665) Beats Your Bill

Sabine County Hospital's published 45 CFR § 180 self-pay cash rate is $1,665 (vs. $1,665 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $8,223 Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($8,223).

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 Sabine County Hospital 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 Composite69/100

Median ER Wait114 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sabine County Hospital.

Price Index: 0.94× regional baseline

Quality: 56/100 CMS composite

Median Household Income$59,924U.S. Census ACS

Local Uninsured Share14.1%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 66/100 · Caution CMS CCN 451361

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 451361) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-10

Validated Rate Rows277 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451361

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