How many shoppable procedure prices are published for Sweeny Community Hospital?

Sweeny Community Hospital in Sweeny, TX currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sweeny Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sweeny Community Hospital's median negotiated commercial rate is 2.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 12 Beds · rural Updated: 2026-09-08

Sweeny Community Hospital

305 North McKinney, Sweeny, TX 77480 · 99 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.28×vs. Fair Market Price

Typical commercial prices here are +128% above the fair benchmark (2.28×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness85

Price Logic46

Peer Alignment67

Clean Billing65

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +33% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Sweeny Community Hospital prices routine shoppable procedures at 3.2× Medicare (median 2.55× Fair BaseRate) while upper-quartile commercial rates jump +33% to 3.39× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#282 of 307 in TX · 91st State Percentile#3,201 of 3,385 in U.S. · 94th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 70% 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)

Even at low-cost facilities (2.28× 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.
Commercial insurance median sits at 2.55× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.39×) jump +33% above the median procedure ratio (Q50 2.55×)
Unnegotiated chargemaster list prices average 7.9× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER0.63× Divergence

2.0× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 1.80× · Q50 2.55× · Q75 3.39×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.2× MedicareGood

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

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Sweeny Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$14,083	$14,083	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,996	$4,125	$8,223	0.5×
Trauma team activation HCPCS Code: `G0390`	$1,960	$3,267	$1,453	2.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,703	$1,703	$6,109	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,086	$1,719	$583	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,200	$930	$338	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$965	$940	$343	2.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,481	$940	$511	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,091	$930	$369	unverified
Psychological testing evaluation CPT Code: `96136`	$553	$922	$128	unverified
Ultrasound, pelvis CPT Code: `76856`	$730	$730	$130	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$672	$672	$134	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$626	$632	$272	2.3×
Blood transfusion CPT Code: `36430`	$413	$626	$498	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$386	$643	$123	unverified
CT scan, head (no contrast) CPT Code: `70450`	$992	$566	$160	3.5×
CT scan, pelvis CPT Code: `72192`	$863	$566	$163	3.5×
CT scan, sinuses CPT Code: `70486`	$946	$566	$166	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$958	$566	$167	3.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,271	$566	$168	3.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,114	$566	$169	3.3×
CT scan, head (with contrast) CPT Code: `70460`	$983	$566	$242	2.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,056	$566	$258	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,588	$566	$303	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,757	$566	$448	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$583	$583	$148	unverified
X-ray, lower back CPT Code: `72110`	$292	$486	$112	4.3×
Inguinal hernia repair CPT Code: `49505`	$832	$498	$3,629	0.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$494	$494	$126	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$448	$448	$132	3.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$276	$460	$93	unverified
X-ray, shoulder CPT Code: `73030`	$263	$439	$92	unverified
X-ray, hand CPT Code: `73130`	$250	$416	$93	unverified
X-ray, ankle CPT Code: `73610`	$260	$433	$93	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$238	$397	$185	2.1×
X-ray, foot CPT Code: `73630`	$179	$299	$92	3.3×
X-ray, chest (two views) CPT Code: `71046`	$179	$298	$93	3.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$185	$309	$166	1.9×
Family therapy session CPT Code: `90847`	$187	$312	$173	1.8×
X-ray, hip CPT Code: `73502`	$161	$269	$93	2.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$173	$288	$181	1.6×
X-ray, chest (single view) CPT Code: `71045`	$157	$262	$92	2.8×
Group therapy session CPT Code: `90853`	$155	$259	$100	2.6×
X-ray, pelvis CPT Code: `72170`	$158	$263	$110	2.4×
New patient office visit (30-44 min) CPT Code: `99203`	$123	$205	$110	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$136	$227	$123	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$120	$201	$35	5.7×
Breast lump removal CPT Code: `19120`	$221	$221	$3,875	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$656	$164	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$832	$177	$1,256	0.1×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$131	$34	3.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$123	$35	3.5×
Speech therapy (language evaluation) CPT Code: `92507`	$91	$120	$86	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$787	$123	$987	0.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$86	$86	$87	1.0×
Orthotic fitting and training CPT Code: `97760`	$109	$109	$51	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$181	$181	$11	unverified
Blood antibody screen CPT Code: `86850`	$124	$150	$46	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$123	$123	$9	13.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$112	$112	$19	5.9×
Blood test, vitamin D CPT Code: `82306`	$112	$112	$31	3.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$76	$126	$56	2.3×
Pneumococcal vaccine HCPCS Code: `90732`	$111	$111	$140	0.8×
Blood test, liver function panel CPT Code: `80076`	$127	$127	$9	unverified
Culture, blood CPT Code: `87040`	$132	$132	$11	unverified
Blood test, lipase CPT Code: `83690`	$70	$70	$7	10.0×
Culture, bacterial CPT Code: `87070`	$83	$83	$9	9.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$92	$18	5.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$105	$105	$20	unverified
Blood test, calcium CPT Code: `82310`	$53	$53	$5	10.6×
Hepatitis C antibody test CPT Code: `86803`	$74	$74	$15	4.9×
Occupational therapy (self-care training) CPT Code: `97535`	$71	$71	$38	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$36	$4	9.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$61	$61	$8	7.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$73	$73	$6	unverified
Blood test, potassium CPT Code: `84132`	$38	$38	$5	7.6×
Blood test, magnesium CPT Code: `83735`	$53	$53	$7	7.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$70	$70	$10	7.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$67	$67	$14	4.8×
Blood test, vitamin B12 CPT Code: `82607`	$75	$75	$16	4.7×
Blood test, amylase CPT Code: `82150`	$81	$81	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$62	$14	4.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$43	$71	$25	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$69	$38	1.8×
Physical therapy (gait training) CPT Code: `97116`	$59	$59	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$65	$65	$40	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$70	$70	$201	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$62	$62	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$36	$4	9.0×
Blood test, sodium CPT Code: `84295`	$31	$31	$5	6.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$49	$49	$38	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$27	$44	$48	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$19	$31	$37	0.8×
Prosthetic fitting and training CPT Code: `97761`	$23	$23	$45	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$22	$22	$49	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$25	$25	$86	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$185	$9	$64	0.1×
Blood test, hemoglobin CPT Code: `85018`	$28	$28	$3	unverified

Showing top 25 high-impact procedures of 99 total

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

Audit a Bill or Quote at Sweeny Community Hospital (Zero PHI Required)

CMS CCN: 451311

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $14,083

Insurer Median $14,083

1. Amount on Your Bill or Quote ($) Pre-filled with Sweeny Community 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 $9,389 Paying Cash

Self-Pay Cash Rate ($14,083) Beats Your Bill

Sweeny Community Hospital's published 45 CFR § 180 self-pay cash rate is $14,083 (vs. $14,083 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,385 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($23,472) is $4,385 above the denoised Fair BaseRate ($19,087) and 1.7× the $14,117 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)

Public IRS & CMS ownership records classify Sweeny Community 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 Composite70/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait97 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2024-06-05·administrative_or_closure
Closure Notice
Recorded
2024-02-29·warning_notice
Warning Notice
Recorded
2023-02-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (38 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 Quality & Price Benchmark

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

Price Index: 1.05× regional baseline

Quality: 53/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Amerigroup

+83.6%

Median Household Income$95,155U.S. Census ACS

Local Uninsured Share12.8%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 71/100 · Corroborated CMS CCN 451311

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 451311) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-08 · 34.50 MB

Validated Rate Rows1,893 (CMS v3.0.0)

File Integrity Digestbd86adf81bdc55c7b644…

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