How many shoppable procedure prices are published for South Texas Health System?

South Texas Health System in Edinburg, TX currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do South Texas Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, South Texas Health System's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is South Texas Health System's CMS Care Compare overall star rating?

CMS Care Compare assigns South Texas Health System an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 819 Beds · rural Updated: 9/1/2026

South Texas Health System

1102 W Trenton Road, Edinburg, TX 78539 · 101 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 18% of the Time

File Completeness60

Price Logic89

Peer Alignment67

Clean Billing89

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 2,565), South Texas Health System commands a 1.52× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#228 of 307 in TX · 73rd State Percentile#2,671 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 18% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 68% patient recommendation (62/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.52× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (3.2×) & laboratory (2.2×) services average 1.06× higher multiples than routine shoppable care (1.6×)
Even at low-cost facilities (1.52× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 2,565) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.7× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 0.98× · Q50 1.43× · Q75 1.62×

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

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

0.9× MedicareGood

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

18% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 62/100Elevated

Procedure Prices at South Texas Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Blood transfusion CPT Code: `36430`	$3,284	$3,284	$498	unverified
Trauma team activation HCPCS Code: `G0390`	$16,408	$2,339	$1,453	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	$1,905	$1,547	$855	1.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$30,919	$998	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,296	$707	$987	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$11,633	$643	$511	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$37,077	$612	$448	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$443	$483	$201	2.4×
MRI, brain (no contrast) CPT Code: `70551`	$11,093	$402	$343	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,202	$373	$148	2.5×
MRI, lower back (no contrast) CPT Code: `72148`	$14,522	$392	$338	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$15,787	$415	$369	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,764	$370	$272	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$24,743	$369	$303	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$255	$334	$86	3.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,733	$343	$258	1.3×
Rabies immune globulin HCPCS Code: `90375`	$3,318	$345	$322	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,175	$356	$583	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$1,250	$308	$123	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$11,042	$299	$242	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$1,550	$245	$185	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$3,464	$205	$132	1.6×
Ultrasound, pelvis CPT Code: `76856`	$2,970	$189	$130	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$6,358	$205	$160	1.3×
CT scan, pelvis CPT Code: `72192`	$7,760	$208	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$8,090	$208	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$3,055	$208	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$8,806	$208	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$9,068	$208	$169	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$1,870	$212	$181	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$6,569	$205	$134	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$990	$211	$86	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,444	$171	$126	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$999	$144	$64	2.3×
Family therapy session CPT Code: `90847`	$1,403	$161	$173	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,814	$137	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$1,129	$144	$166	0.9×
X-ray, hip CPT Code: `73502`	$1,972	$94	$93	1.0×
X-ray, lower back CPT Code: `72110`	$1,239	$102	$112	0.9×
Speech therapy (group session) CPT Code: `92508`	$1,307	$88	$27	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$496	$92	$35	unverified
Drug screening test HCPCS Code: `G0480`	$426	$426	$116	3.7×
Typhoid vaccine HCPCS Code: `90675`	$3,398	$315	$347	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$256	$256	$20	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$224	$224	$49	4.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$927	$169	$203	0.8×
Blood antibody screen CPT Code: `86850`	$339	$125	$46	2.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$263	$126	$49	2.6×
Pneumococcal vaccine HCPCS Code: `90732`	$396	$125	$140	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$324	$38	$14	2.7×
Physical therapy (gait training) CPT Code: `97116`	$422	$61	$33	1.8×
Physical therapy (manual therapy) CPT Code: `97140`	$140	$62	$34	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$240	$66	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$349	$67	$40	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,138	$78	$93	0.8×
Blood test, vitamin D CPT Code: `82306`	$430	$49	$31	1.6×
Prosthetic fitting and training CPT Code: `97761`	$274	$67	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$230	$69	$51	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$299	$62	$48	1.3×
X-ray, hand CPT Code: `73130`	$2,402	$73	$93	0.8×
X-ray, ankle CPT Code: `73610`	$2,385	$72	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$3,048	$69	$92	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$814	$75	$111	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$412	$42	$56	0.8×
X-ray, foot CPT Code: `73630`	$2,652	$67	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$1,918	$67	$93	0.7×
X-ray, chest (single view) CPT Code: `71045`	$1,074	$51	$92	0.6×
X-ray, pelvis CPT Code: `72170`	$1,721	$55	$110	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$321	$66	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$342	$66	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$569	$66	$38	unverified
Group therapy session CPT Code: `90853`	$619	$38	$100	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$234	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$395	$10	$6	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$311	$13	$8	1.6×
Blood test, calcium CPT Code: `82310`	$145	$8	$5	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$297	$16	$10	1.6×
Blood test, sodium CPT Code: `84295`	$64	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$374	$24	$15	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$596	$30	$19	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$944	$22	$14	1.6×
Blood test, amylase CPT Code: `82150`	$524	$11	$7	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$284	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$537	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$324	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$430	$25	$16	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$757	$14	$9	1.6×
Culture, bacterial CPT Code: `87070`	$527	$14	$9	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$837	$17	$11	1.5×
Culture, blood CPT Code: `87040`	$395	$17	$11	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$271	$6	$4	1.5×
Blood test, liver function panel CPT Code: `80076`	$624	$13	$9	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$302	$7	$5	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$755	$29	$39	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$173	$18	$25	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$844	$24	$37	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$464	$8	$5	unverified
Blood test, potassium CPT Code: `84132`	$320	$8	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$17	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$7	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$69	$4	$3	unverified

Showing top 25 high-impact procedures of 101 total

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

Audit a Bill or Quote at South Texas Health System (Zero PHI Required)

CMS CCN: 450119

CPT 36430

Select Procedure to Audit:

Fair BaseRate™ $498

Medicare Rate $451

Self-Pay Cash $3,284

Insurer Median $3,284

1. Amount on Your Bill or Quote ($) Pre-filled with South Texas Health System’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 $1,094 Paying Cash

Self-Pay Cash Rate ($3,284) Beats Your Bill

South Texas Health System's published 45 CFR § 180 self-pay cash rate is $3,284 (vs. $3,284 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,880 Above Fair BaseRate

Negotiate Toward $498 Fair BaseRate ($451 Medicare)

Your bill ($4,378) is $3,880 above the denoised Fair BaseRate ($498) and 9.7× the $451 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)

EIN: 233069260

Public IRS & CMS ownership records classify South Texas Health System 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

CMS Overall2/5 Stars (2/5)

Safety Composite62/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait109 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,465 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for South Texas Health System.

Price Index: 1.86× regional baseline

Quality: 51/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-69.5%

Blue Cross Blue Shield

-41.0%

Median Household Income$52,281U.S. Census ACS

Local Uninsured Share29.7%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 81/100 · Corroborated CMS CCN 450119 EIN 233069260

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450119) ↗ Verify IRS Form 990 (EIN 233069260) ↗ CMS HCRIS Cost Reports ↗

Published MRF File233069260_south-texas-health-system-edinburg_standardcharges.csv

Publication / Vintage9/1/2026 · 151.37 MB

Validated Rate Rows4,774 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450119

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