How many shoppable procedure prices are published for Schleicher County Medical Center?

Schleicher County Medical Center in Eldorado, TX currently has 52 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Proprietary 14 Beds · rural Updated: 2026-02-10

Schleicher County Medical Center

102 North Us Highway 277, Eldorado, TX 76936 · 52 Priced Procedures

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.

54/100 · Caution

54/100Self-Pay Cash Beats Insurance 92% of the Time

File Completeness66

Price Logic23

Peer Alignment62

Clean Billing30

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Schleicher County Medical Center prices routine shoppable procedures near 7.6× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 13.5× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

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 92% 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 9.5× markup over Medicare rates
Captive ER (11.0×) & laboratory (12.9×) services average 1.78× higher multiples than routine shoppable care (7.6×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 8.6× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

7.6× Medicare

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

Back-Door Captive & ER1.78× Divergence

13.5× 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

7.6× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

9.5× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

6.8× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

11.0× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

12.9× MedicareWatchout

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

8.7× MedicareWatchout

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

92% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Schleicher County Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 52 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`	$1,070	$1,070	$8,223	0.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,040	$1,040	$168	6.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,024	$1,024	$242	4.2×
CT scan, pelvis CPT Code: `72192`	$1,024	$1,024	$163	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$746	$746	$272	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$565	$565	$303	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$588	$588	$448	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$537	$537	$167	3.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$534	$534	$169	3.2×
CT scan, head (no contrast) CPT Code: `70450`	$513	$513	$160	unverified
Ultrasound, pelvis CPT Code: `76856`	$444	$444	$130	3.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$423	$423	$126	3.4×
X-ray, ankle CPT Code: `73610`	$211	$211	$93	2.3×
X-ray, foot CPT Code: `73630`	$195	$195	$92	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$205	$205	$201	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$177	$177	$93	1.9×
X-ray, pelvis CPT Code: `72170`	$195	$195	$110	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$107	$107	$64	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$81	$81	$38	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$101	$101	$86	1.2×
X-ray, shoulder CPT Code: `73030`	$103	$103	$92	1.1×
X-ray, hand CPT Code: `73130`	$103	$103	$93	1.1×
X-ray, hip CPT Code: `73502`	$93	$93	$93	1.0×
X-ray, chest (two views) CPT Code: `71046`	$104	$104	$93	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$179	$179	$11	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$130	$130	$20	6.5×
Blood test, vitamin D CPT Code: `82306`	$146	$146	$31	4.7×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$146	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$112	$112	$14	8.0×
Blood test, vitamin B12 CPT Code: `82607`	$98	$98	$16	6.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$114	$114	$18	unverified
Culture, blood CPT Code: `87040`	$130	$130	$11	unverified
Culture, bacterial CPT Code: `87070`	$98	$98	$9	10.9×
X-ray, chest (single view) CPT Code: `71045`	$79	$79	$92	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$98	$98	$14	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$65	$6	10.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$49	$5	9.8×
Blood test, lipase CPT Code: `83690`	$49	$49	$7	7.0×
Blood test, liver function panel CPT Code: `80076`	$60	$60	$9	6.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$65	$65	$35	1.9×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, amylase CPT Code: `82150`	$45	$45	$7	6.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$47	$8	5.9×
Physical therapy (gait training) CPT Code: `97116`	$65	$65	$33	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$65	$65	$34	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$68	$40	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$49	$49	$3	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$65	$65	$10	unverified
Blood test, magnesium CPT Code: `83735`	$54	$54	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$65	$65	$19	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$59	$59	$5	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$29	$29	$86	unverified

Showing top 25 high-impact procedures of 52 total

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

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

CMS CCN: 451304

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash $1,070

Insurer Median $1,070

1. Amount on Your Bill or Quote ($) Pre-filled with Schleicher County 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 $576 Paying Cash

Self-Pay Cash Rate ($1,070) Beats Your Bill

Schleicher County Medical Center's published 45 CFR § 180 self-pay cash rate is $1,070 (vs. $1,070 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 Schleicher County 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

Left ER Before Seen0%

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 Schleicher County Medical Center.

Price Index: 1.61× regional baseline

Quality: 57/100 CMS composite

Median Household Income$90,141U.S. Census ACS

Local Uninsured Share25.3%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 54/100 · Caution CMS CCN 451304

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 451304) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-10

Validated Rate Rows63 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451304

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