Texas Health Harris Methodist Hospital Stephenvill
411 N Belknap St, Stephenville, TX 76401 · 127 Priced Procedures · 74% Patient Recommendation
Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.12× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 10,000), Texas Health Harris Methodist Hospital Stephenvill commands a 1.12× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 74% patient recommendation (73/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (47.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Captive ER (1.6×) & laboratory (3.6×) services average 1.36× higher multiples than routine shoppable care (1.1×)
- Upper-quartile procedures (Q75 1.27×) jump +20% above the median procedure ratio (Q50 1.06×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Texas Health Harris Methodist Hospital Stephenvill
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $52,468 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $32,059 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $29,902 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $25,872 | 1.4× |
| Total hip replacement CPT Code: 27130 | $14,316 | 1.1× |
| Total knee replacement CPT Code: 27447 | $14,316 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $11,892 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,377 | 1.0× |
| Breast lump removal CPT Code: 19120 | $4,130 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $3,777 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,451 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,451 | 1.0× |
| C-section delivery (full package) CPT Code: 59510 | $2,577 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,434 | 1.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,310 | 0.9× |
| Trauma team activation HCPCS Code: G0390 | $1,439 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,262 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $981 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $957 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $953 | 0.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $787 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $576 | 1.0× |
| Psychological testing by technician CPT Code: 96138 | $471 | 1.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $473 | 0.9× |
| Blood transfusion CPT Code: 36430 | $456 | 0.9× |
Audit a Bill or Quote at Texas Health Harris Methodist Hospital Stephenvill (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $59,234
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (47.0% of gross = $59,234).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Texas Health Harris Methodist Hospital Stephenvill's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($125,923) is $95,148 above the denoised Fair BaseRate ($30,775) and 5.4× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (47.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (182 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Texas Health Harris Methodist Hospital Stephenvill.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.