How many shoppable procedure prices are published for Texas Health Specialty Hospital Forth Worth?

Texas Health Specialty Hospital Forth Worth in Fort Worth, TX currently has 88 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile General Acute Care Hospital Updated: 2026-04-21

Texas Health Specialty Hospital Forth Worth

1301 Pennsylvania Avenue, Fort Worth, TX 76104 · 88 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.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness66

Price Logic81

Peer Alignment61

Clean Billing79

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Texas Health Specialty Hospital Forth Worth prices shoppable and inpatient services (9.8× to 12.3× Medicare, divergence 1.26×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

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 69% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (75.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
Captive ER (14.2×) & laboratory (18.5×) services average 1.26× higher multiples than routine shoppable care (9.8×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 15.7× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

9.8× Medicare

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

Back-Door Captive & ER1.26× Divergence

12.3× 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

9.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

14.1× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

14.2× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

18.5× MedicareWatchout

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

2.9× MedicareFair

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

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Texas Health Specialty Hospital Forth Worth

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$4,830	$4,830	$1,021	4.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,920	$3,920	$448	8.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,356	$3,356	$303	11.1×
MRI, knee or other leg joint CPT Code: `73721`	$3,265	$3,265	$369	8.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,830	$2,830	$511	5.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,721	$2,721	$258	10.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,504	$2,504	$343	7.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,384	$2,384	$167	14.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,394	$2,394	$168	14.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,394	$2,394	$169	14.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,394	$2,394	$338	7.1×
CT scan, head (with contrast) CPT Code: `70460`	$2,276	$2,276	$242	9.4×
CT scan, head (no contrast) CPT Code: `70450`	$2,058	$2,058	$160	12.9×
CT scan, pelvis CPT Code: `72192`	$2,082	$2,082	$163	12.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,899	$1,899	$981	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,859	$1,859	$583	3.2×
CT scan, sinuses CPT Code: `70486`	$1,667	$1,667	$166	10.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,212	$1,212	$272	4.5×
Ultrasound, pelvis CPT Code: `76856`	$861	$861	$130	6.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$786	$786	$134	5.9×
Colonoscopy with biopsy CPT Code: `45380`	$761	$761	$1,256	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$732	$732	$987	0.7×
X-ray, lower back CPT Code: `72110`	$653	$653	$112	5.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$601	$601	$132	4.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$546	$546	$126	4.3×
X-ray, chest (two views) CPT Code: `71046`	$457	$457	$93	4.9×
X-ray, hand CPT Code: `73130`	$404	$404	$93	4.3×
X-ray, hip CPT Code: `73502`	$404	$404	$93	4.3×
X-ray, ankle CPT Code: `73610`	$404	$404	$93	4.3×
X-ray, chest (single view) CPT Code: `71045`	$383	$383	$92	4.2×
X-ray, foot CPT Code: `73630`	$372	$372	$92	4.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$365	$365	$93	3.9×
X-ray, pelvis CPT Code: `72170`	$372	$372	$110	3.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$337	$337	$123	2.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$311	$311	$201	1.5×
X-ray, shoulder CPT Code: `73030`	$282	$282	$92	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$256	$256	$87	2.9×
New patient office visit (30-44 min) CPT Code: `99203`	$256	$256	$110	2.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$205	$205	$64	3.2×
Speech therapy (language evaluation) CPT Code: `92507`	$225	$225	$86	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$191	$191	$151	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$94	$14	6.7×
Physical therapy (gait training) CPT Code: `97116`	$117	$117	$33	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$124	$124	$35	3.5×
Physical therapy (manual therapy) CPT Code: `97140`	$115	$115	$34	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$114	$38	3.0×
Occupational therapy (self-care training) CPT Code: `97535`	$112	$112	$38	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$117	$117	$40	2.9×
Orthotic fitting and training CPT Code: `97760`	$128	$128	$51	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$94	$94	$38	2.5×
Prosthetic fitting and training CPT Code: `97761`	$110	$110	$45	2.4×
Typhoid vaccine HCPCS Code: `90675`	$839	$839	$347	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$377	$377	$11	34.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$375	$375	$14	26.8×
Blood test, liver function panel CPT Code: `80076`	$316	$316	$9	35.1×
Blood test, basic metabolic panel CPT Code: `80048`	$255	$255	$9	28.3×
Culture, blood CPT Code: `87040`	$239	$239	$11	21.7×
Pneumococcal vaccine HCPCS Code: `90732`	$253	$253	$140	1.8×
Culture, bacterial CPT Code: `87070`	$196	$196	$9	21.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$195	$195	$111	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$166	$166	$5	33.2×
Blood test, magnesium CPT Code: `83735`	$137	$137	$7	19.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$162	$162	$18	9.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$108	$108	$3	36.0×
Blood test, calcium CPT Code: `82310`	$113	$113	$5	22.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$135	$135	$8	16.9×
Blood test, amylase CPT Code: `82150`	$118	$118	$7	16.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$114	$114	$10	11.4×
Blood test, vitamin B12 CPT Code: `82607`	$134	$134	$16	8.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$155	$155	$20	7.8×
Blood antibody screen CPT Code: `86850`	$158	$158	$46	3.4×
Drug screening test HCPCS Code: `G0480`	$139	$139	$116	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$106	$106	$5	21.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$127	$19	6.7×
Blood test, hemoglobin CPT Code: `85018`	$63	$63	$3	21.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$81	$81	$4	20.3×
Blood test, potassium CPT Code: `84132`	$84	$84	$5	16.8×
Blood test, sodium CPT Code: `84295`	$84	$84	$5	16.8×
Blood test, lipase CPT Code: `83690`	$101	$101	$7	14.4×
Blood test, vitamin D CPT Code: `82306`	$123	$123	$31	4.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$83	$83	$6	13.8×
Hepatitis C antibody test CPT Code: `86803`	$87	$87	$15	5.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$106	$106	$56	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$77	$77	$14	5.5×
Hepatitis B vaccine HCPCS Code: `90744`	$68	$68	$37	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	10.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$67	$39	1.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$55	$86	0.6×

Showing top 25 high-impact procedures of 88 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 75.2%

Audit a Bill or Quote at Texas Health Specialty Hospital Forth Worth (Zero PHI Required)

CMS CCN: 452018

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $4,830

Insurer Median $4,830

1. Amount on Your Bill or Quote ($) Pre-filled with Texas Health Specialty Hospital Forth Worth’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 501(r) AGB Cap: $6,058 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,058

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (75.2% of gross = $6,058).

Step 2 · Cash vs. Insurance Arbitrage Save $3,221 Paying Cash

Self-Pay Cash Rate ($4,830) Beats Your Bill

Texas Health Specialty Hospital Forth Worth's published 45 CFR § 180 self-pay cash rate is $4,830 (vs. $4,830 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$7,030 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($8,051) is $7,030 above the denoised Fair BaseRate ($1,021) and 9.2× the $877 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (75.2% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

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 Texas Health Specialty Hospital Forth Worth.

Price Index: 2.31× regional baseline

Quality: 54/100 CMS composite

Median Household Income$56,848U.S. Census ACS

Local Uninsured Share29.3%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 77/100 · Corroborated CMS CCN 452018

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 452018) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-21

Validated Rate Rows1,638 (CMS v3.0.0)

File Integrity DigestVerified · CCN 452018

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